左侧半球卒中后双相情感障碍
Bipolar disorder following a stroke involving the left hemisphere.
作者信息
Liu C Y, Wang S J, Fuh J L, Yang Y Y, Liu H C
机构信息
Department of Psychiatry, Chang-Gung Medical College and Chang-Gung Memorial Hospital, Taoyuan, Taiwan, ROC.
出版信息
Aust N Z J Psychiatry. 1996 Oct;30(5):688-91. doi: 10.3109/00048679609062667.
OBJECTIVE
Post-stroke mania has rarely been noted and researched, and reported cases have mostly involved the non-dominant hemisphere. In this paper, we report a case of bipolar disorder secondary to a stroke over the dominant hemisphere.
CLINICAL PICTURE
A 48-year-old, right-handed man had a cerebral infarct over the left temporal region. He became depressed after the stroke, and 4 months later developed a manic episode.
TREATMENT
The patient was treated with haloperidol and lorazepam.
OUTCOME
The symptoms subsided within 2 months after treatment.
CONCLUSIONS
It is premature to consider mania to be a syndrome of the right, or non-dominant, hemisphere. We suggest that further study focusing on specific anatomical regions, rather than laterality, will help to elucidate the interrelationship between mood and brain function.
目的
中风后躁狂很少被关注和研究，且报告的病例大多累及非优势半球。在本文中，我们报告一例继发于优势半球中风的双相情感障碍病例。
临床表现
一名48岁右利手男性，左侧颞叶发生脑梗死。中风后他出现抑郁，4个月后发展为躁狂发作。
治疗
患者接受了氟哌啶醇和劳拉西泮治疗。
结果
治疗后2个月内症状消退。
结论
认为躁狂是右侧或非优势半球综合征的观点为时过早。我们建议，进一步聚焦特定解剖区域而非左右侧性的研究，将有助于阐明情绪与脑功能之间的相互关系。
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