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題 名 | Sturge-Weber Syndrome Associated with Auditory Hallucination=Sturge-Weber症候群併發聽幻覺 |
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作 者 | 陳頌威; 孫讚福; 呂鎮中; 張明永; | 書刊名 | 臺灣精神醫學 |
卷 期 | 20:4 民95.12 |
頁 次 | 頁321-327 |
分類號 | 415.9 |
關鍵詞 | 聽幻覺; 精神病症狀; 神經皮膚疾病; Sturge-weber症候群; Auditory hallucination; Psychosis; Neurocutaneous disorder; Sturge-Weber syndrome; |
語 文 | 英文(English) |
中文摘要 | 目的:Sturge-Weber 症候群是先天性神經皮膚疾病,其特徵為軟腦膜血管瘤、青光眼及臉部血管瘤。目前無該症候群出現聽幻覺之案例。我們報告一個案在大腦漸進性鈣化與萎縮後出現聽幻覺。病例報告:三十三歲患有該症候群女性,於二十四歲出現妄想且於二十八歲出現聽幻覺。幻覺出現之前與之後的電腦斷層掃描顯示,左側顳葉有漸進性鈣化與萎縮。神經生理與心理測驗亦確認該腦區有功能缺損。經兩年追蹤,每日四毫克劑量的risperidone 可改善幻覺且有耐受性。結論:在左側顳葉或額葉受影響的情況下,鈣化與萎縮之漸進性腦病變可解釋聽幻覺的發生。 |
英文摘要 | Objective: Sturge-Weber syndrome (SWS) is a congenital neurocutaneous disorder characterized by leptomeningeal angiomatosis, glaucoma, and facial hemangioma. Auditory hallucinations (AH) have not been previously reported in SWS. We report a patient who developed AH after the development of progressive calcification and atrophy of the brain. Case Report: A 33-year-old woman with SWS developed persecutory delusion at 24 years old and AH at 28 years old. Progressive calcification and atrophy of the left temporal lobe were revealed in the series of computed tomography (CT) before and after development of AH. Functional impairment in these areas was verified by neurophysiological and neuropsychological tests. Treatment with 4 mg risperidone daily provided relief for AH and was well tolerated during two years of follow up. Conclusion: It is suggested that progressive brain lesions with calcification and atrophy could account for the development of AH, in cases involving the left temporal or frontal lobes. |
本系統中英文摘要資訊取自各篇刊載內容。