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頁籤選單縮合
| 題 名 | A Case of Rapidly Progressive Dementia With Multifocal Brain Lesions=與多處腦部病灶可能有關快速進展的失智症--個案報告 |
|---|---|
| 作 者 | 黃斯聖; 黃正平; | 書刊名 | 臺灣老年醫學暨老年學雜誌 |
| 卷 期 | 3:3 2008.08[民97.08] |
| 頁 次 | 頁213-221 |
| 分類號 | 415.8471 |
| 關鍵詞 | 失智症; 腦部病灶; 核磁共振; Dementia; Brain lesion; Magnetic resonance imaging; MRI; |
| 語 文 | 英文(English) |
| 中文摘要 | 目的:描述與討論1位與多處腦部病灶可能有關的快速進展的失智症 病患所呈現的臨床表徵。 病例報告:病人為65歲已婚男性,因為近來迷路兩次而住院評估治療 。病人自住院前四個月開始工具性日常生活功能 (IADL)、日常生活功能 (ADL)、和瞬間或即時記憶與近期記憶皆快速退化。腦部電腦斷層檢查指 發現輕微腦萎縮與腦下垂體腫大,但是在核磁共振檢僅發現有腦部多發 性病灶。病程中沒有觀察到有妄想、幻覺、或憂鬱。 結論:此個案彰顯臨床處理進展快速失智症病患時,詳細評估的重要 性。當病患的認知呈現不尋常的退化病程時,雖然腦部電腦斷層攝影沒 有明顯的發現,仍需考慮更進一步精細的影像學檢查(如核磁共振檢查)。 |
| 英文摘要 | Objective: The purpose of this article is to describe and discuss the clinical manifestations of a patient with the rapidly progressive dementia which may have been caused by multifocal brain lesions. Case Report: A 65-year-old man developed rapidly progressive dementia 4 months prior to presentation. He had a large decline in the immediate and recent memories, as well as abilities in basic and instrumental activities of daily living (ADLS and IADLS), within a short period of time. However, the other features of dementia, such as delusions, hallucinations, and depression, were not found. Computed tomography (CT) of the brain showed only mild brain atrophy, an enlarged pituitary gland, and on the contrary, multifocal brain lesions were detected by magnetic resonance imaging (MRI). Conclusion: The case reminded us the importance of a thorough evaluation on an unusual patient experiencing rapidly progressive dementia. Even though brain CT indicates only non-specific findings, further delicate imaging studies (brain MRI) should be performed to evaluate those with unusual clinical course of cognitive decline. |
本系統中英文摘要資訊取自各篇刊載內容。