幻觉和情绪改变为临床表现的癫痫个案报告

作者:潘美蓉;周琪;李涛;孙新宇; 刊名:中国心理卫生杂志 上传者:闫淑霞

【摘要】本文报道一例64岁汉族女性患者,以反复出现的听幻觉及情绪异常为主要表现,诊断"焦虑抑郁"10余年,治疗效果不满意,并出现自杀意念收住院治疗,观察到患者反复出现短暂听幻觉及继发情绪改变,症状单一刻板重复,经过视频脑电图检查、神经科会诊,确诊"癫痫",抗癫痫药物治疗后症状明显改善。讨论了癫痫与精神症状的相关鉴别要点,减少临床误诊误治。

全文阅读

www. cmhj. cn ·临床精神病学· 幻觉和情绪改变为临床表现的癫痫个案报告 潘美蓉 周琪 李涛 孙新宇 ( 北京大学第六医院北京大学精神卫生研究所,国家精神心理疾病临床医学研究中心 ( 北京大学第六医院) ,卫生部精神卫生学重点实验室 ( 北京大学) ,北京 100191 通信作者: 孙新宇 sunxinyu@ bjmu. edu. cn) 【摘 要】 本文报道一例 64 岁汉族女性患者,以反复出现的听幻觉及情绪异常为主要表现,诊断“焦虑抑郁”10 余年,治疗效果不满意,并出现自杀意念收住院治疗,观察到患者反复出现短暂听幻觉及继发情绪改变,症状单一刻板重复,经过视频脑电图检查、神经科会诊,确诊 “癫痫”,抗癫痫药物治疗后症状明显改善。讨论了癫痫与精神症状的相关鉴别要点,减少临床误诊误治。 【关键词】 幻觉; 焦虑; 抑郁; 癫痫; 个案报告 中图分类号: R742. 1,R749. 17 文献标识码: A 文章编号: 1000 -6729 ( 2019) 005 -0341 -05 doi: 10. 3969/j. issn. 1000 -6729. 2019. 05. 004 ( 中国心理卫生杂志,2019,33 ( 5) : 341 -345. ) A case of epilepsy only with hallucinations and emotion symptoms PAN Meirong,ZHOU Qi,LI Tao,SUN Xinyu Peking University Institute of Mental Health,Peking University Sixth Hospital,Key Laboratory of Mental Health,Ministry of-Health ( Peking University) ,Beijing 100191,China Corresponding author: SUN Xinyu,sunxinyu@ bjmu. edu. cn 【Abstract】 This is a case report of a 64-year-old Han female admitted to psychiatric hospital presenting for recurrent hallucinations and emotional disorders. She was diagnosed as " anxiety and depression",but did not have satisfied treatment effect,and she was hospitalized because of recurrent suicidal ideas. By observation of her symptoms being simply,stereotype and repeated by recurrent auditory hallucination and secondary emotional change,Video EEG examination was considered to identify whether epilepsy existed. The " pileptic discharge in the left temporal area" was found,in which more obvious tip wave in the left sph

参考文献

引证文献

问答

我要提问