頁籤選單縮合
題名 | Normal Pressure Hydrocephalus Mimicking Antipsychotic-induced Parkinsonism=擬似藥物引起類巴金森氏症之常壓性水腦症 |
---|---|
作者姓名(中文) | 陳廷任; 歐陽文貞; 曾美智; 李明濱; 陳錫中; | 書刊名 | Taiwanese Journal of Psychiatry |
卷期 | 23:2 2009.06[民98.06] |
頁次 | 頁167-171 |
分類號 | 415.933 |
關鍵詞 | 常壓性水腦症; 類巴金森氏症狀; Normal pressure hydrocephalus; Parkinsonism syndromes; |
語文 | 英文(English) |
中文摘要 | 目的:由於常壓性水腦症的臨床表現多樣化,臨床上要在有精神疾病病史之患者中診斷出常壓性水腦症並不容易。本文報告一患有常壓性水腦症的慢性精神分裂症個案。 方法:一位47 歲慢性精神分裂症女性患者,於復健病房住院中出現錐體外症候群如小碎步、易跌倒等情形,由於病情無法單以藥物副作用解釋,後經電腦斷層診斷為常壓性水腦症,經過腦室腹膜分流手術,上述錐體外症候群逐漸進步。 結論:常壓性水腦症的症狀表現和許多精神疾病,及抗精神病藥物副作用相似。如果精神分裂症病患者出現步態與運動障礙,且治療效果不佳時,宜考慮其他腦部疾病,包括常壓性水腦症。 |
英文摘要 | Objective : Normal pressure hydrocephalus (NPH) is a diagnostic challenge for clinicians due to signifi cant variations in its clinical presentation, especially in patients with a psychiatric history. Case Report : A 47-year-old female with chronic schizophrenia had extrapyramidal symptoms (EPS) while being admitted on the psychiatric ward. Her EPS were initially considered to be induced by antipsychotic drugs, but the symptoms persisted despite adjustments in medication. The fi nding of the computed tomographic scan later revealed NPH. After being implanted a ventriculo-peritoneal shunt, her EPS were gradually improved. Conclusion : The typical symptoms of NPH are similar to some of the common mental disorders, or the side effects induced by antipsychotic drugs. NPH is suggested to be considered when schizophrenic patients are presenting a gait or movement disturbance but with poor response to the management for EPS. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。