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題 名 | 腦傷後次發性噪症=Mania due to Brain Injury |
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作 者 | 許世杰; 莊永毓; 劉嘉逸; | 書刊名 | 臺灣精神醫學 |
卷 期 | 15:4 2001.12[民90.12] |
頁 次 | 頁336-342 |
分類號 | 415.877 |
關鍵詞 | 腦傷; 躁症; 大腦半球; 邊緣系統; Brain injury; Mania; Hemisphere; Limbic system; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:相較於腦傷後憂鬱症,腦傷所引起的躁症是較少的。文獻中大部分個案報告發現腦傷後的躁症顯示主要的受傷部位在右側或非優勢大腦半球。我們報告三例腦傷後引發躁症的個案,探討受傷部位與躁症的關係。個案報告:個案一為80歲男性,雙側慢性硬腦膜下血腫,左側較嚴重並未冶療。一年多後產生躁症。個案二為51歲男性,左側額顳區急性蜘蛛腦膜下出血和慢性硬腦膜下血腫,經開刀取出血塊,數個月後產生躁症且之後的腦波仍顯示左側大腦半球局部性皮質異常。個案三為43歲男性,左側基底核出血性中風,三週後產生躁症。結論:由有限的個案觀察並沒有發現右側或非優勢大腦半球受傷易導致次發性躁症。具說服性的討論可能需要較嚴格的個案篩選和大規模樣本分析。 |
英文摘要 | Objective: In contrast to the frequent occurrence of depression after brain injury, mania due to brain injury has been reported rarely. Most cases have involved lesions of the right or non-dominant hemisphere. We report three cases of secondary mania due to brain injury, and seek to articulate and elucidate any relationship for secondary mania and laterality of brain lesion. Case Reports: Case 1 was an 80-year-old man who had suffered a bilateral chronic subdural hematoma, with a manic episode developing about one year later. A 51-year-old man (Case 2) suffered an acute subarachnoid hemorrhage and chronic subdural hematoma over the left frontotemporal area, with recurrent manic episodes subsequently commencing several months later. Case 3 was a 43-year-old man who had suffered a hemorrhagic stroke over the left basal ganglia, with onset of a manic episode about three weeks later. Conclusion: No significant association was demonstrated for secondary mania and lesion over the right or non-dominant hemisphere. We suggest stricter case selection and large-sample studies are warranted to further investigate the hypothesized association. |
本系統中英文摘要資訊取自各篇刊載內容。