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頁籤選單縮合
題名 | A Case Report of Temporal Lobe Epilepsy with Manifestation of Jamais Vu=以陌生感為表現的顳葉癲癇個案報告 |
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作 者 | 林冠甫; | 書刊名 | 醫學與健康期刊 |
卷期 | 3:1 2014.03[民103.03] |
頁次 | 頁103-108 |
分類號 | 415.932 |
關鍵詞 | 夢樣狀態; 顳葉癲癇; 陌生感; 心因性癲癇; Dreamy state; Temporal lobe epilepsy; Jamais vu; Psychogenic non-epileptic seizure; |
語文 | 英文(English) |
中文摘要 | 「夢樣狀態」描述心智狀態的短暫改變,意識會專注在闖入的感覺或知覺。夢樣狀態的症狀描述相當主觀,包括既視感、陌生感、情緒變化與幻覺。夢樣狀態常與顯葉痛痛相關,但也常發生於精神科疾病。這篇個案報告,描述一位十七歲男性,因頻繁出現的陌生感而感到困擾,長期診斷為顯葉廟憫,但症狀在抗痛痛藥物治療下未得到改善,且腦波圖未偵測到異常發現。考慮不典型病程的痛摘時,精神疾病診斷需要被鑑別。作者指出其癱擱症狀以精神疾病症狀表現,歸納心因性痛痛的可能因素。個案的心智狀態需要被關切,並需要精神科醫師評估與介入治療。 |
英文摘要 | Dreamy state is a transient alteration of mental state in which consciousness is preoccupied with an intrusive sensation or perception. The phenomenology is heterogeneous and subjective and includes déjà vu, jamais vu, reminiscence ofmemories, emotional change, and hallucinations. Dreamy state is known to be related to temporallobe epilepsy, but the abovementioned symptoms are usually noted in psychiatric disorders. Herein we report a case involving a 17-year-old male suffering from frequent sense of strangeness who was diagnosed as having temporal lobe epilepsy. His symptoms were resistant to anticonvulsants, and electroencephalography revealed no positive findings. Due to the atypical presentation of his epilepsy, his illness needs to be differentially diagnosed from possible mental disorder. This case report highlights the possibility that epilepsy can manifest with symptoms of mental disorder, and postulated possible factors of psychogenic non-epileptic seizure. The mental condition of this case suggested the need for further investigation and additiona assessment by a psychiatrist. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。