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老年患者中访客幻觉的神经精神因素:病例系列

Neuropsychiatric factors in the illusion of visitors among geriatric patients: a case series.

作者信息

Jenkins M A, Cimino C, Malloy P F, Salloway S, Cohen R, Kohn R, Westlake R

机构信息

Department of Psychiatry and Human Behavior, Brown University School of Medicine, Providence, Rhode Island 02906, USA.

出版信息

J Geriatr Psychiatry Neurol. 1997 Apr;10(2):79-87. doi: 10.1177/089198879701000208.

Abstract

The 'illusion of visitors' is a common phenomenon among geriatric patients presenting for psychiatric or neurologic evaluation and treatment. Although these illusory beliefs are etiologically diverse, patients may commonly have visual impairment and functional and/or structural disruption of frontal and right-hemisphere-mediated cognitive functioning. This article outlines eight cases of illusory beliefs among elderly patients, presenting psychiatric, neurologic, neuroimaging, and neuropsychological findings among these patients. Commonalities and differences among these cases are discussed, and a framework is provided for multidisciplinary assessment and treatment of patients presenting with illusory beliefs.

摘要

“访客幻觉”是老年患者在接受精神科或神经科评估及治疗时常见的一种现象。尽管这些幻觉性信念在病因上多种多样,但患者通常可能存在视力障碍以及额叶和右半球介导的认知功能的功能性和/或结构性破坏。本文概述了老年患者中八例幻觉性信念的病例,呈现了这些患者的精神科、神经科、神经影像学和神经心理学检查结果。讨论了这些病例之间的共性和差异,并为患有幻觉性信念的患者提供了多学科评估和治疗的框架。

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