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題名 | 結節型硬化症合併精神病性症狀=Psychotic Manifestation in a Patient with Tuberous Sclerosis |
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作者姓名(中文) | 武維馨; 黃聿斐; 劉興政; | 書刊名 | 臺灣精神醫學 |
卷期 | 17:3 2003.09[民92.09] |
頁次 | 頁232-237 |
分類號 | 415.932 |
關鍵詞 | 結節型硬化症; 癲癇; 精神病; Tuberous sclerosis; Epileptic seizure; Psychosis; |
語文 | 中文(Chinese) |
中文摘要 | 目的:報告一例結節型硬化症合併癲癇及精神病症狀的女性病患,並探討結節型硬化症、癲癇發作與精神病症狀之間的關聯性。病例報告:一位19 歲女性患者因癲癇、自傷行為及明顯精神病症狀而就醫。於檢查完成後確診為結節型硬化症。該個案在癲癇發作得到良好控制之下仍持續出現精神病症狀,而需合併抗癲癇及抗精神病藥物治療。 結論:結節型硬化症合併癲癇發作間精神病雖不常見,其產生的機轉也尚不清楚。臨床醫師在診治癲癇合併精神病症狀的病患時,將此病列入鑑別診斷。 |
英文摘要 | Objective: Individuals with psychiatric disabilities wish to work like everyone else after their symptoms are controlled. It is difficult for individuals with psychObjective: A patient with tuberous sclerosis who suffered from epileptic seizures and psychosis is presented. The relationships between tuberous sclerosis, epileptic seizures and psychosis are discussed. Case report: A 19-year-old female was admitted because of frequent seizures, selfdestructive behavior and psychosis. After investigation she was diagnosed with tuberous sclerosis. Her psychotic symptoms persisted despite good seizure control. Chronic interictal psychosis was diagnosed given the relationship between her epileptic seizures and psychosis and long-term antipsychotic medication treatment was necessary. Conclusion: The detailed mechanisms of psychosis in tuberous sclerosis are not clearly understood, with both the epileptic seizures and tuber-ous sclerosis possibly contributing. Although psychosis is a rare complication of tuberous sclerosis, organic disorders such as this must be remembered when investigating psychosis. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。