頁籤選單縮合
題名 | Clinical Observation and Neurological Outcomes in "Alice in Wonderland" Syndrome=「愛麗絲漫遊仙境」症候群--臨床觀察及預後 |
---|---|
作者 | 何啟生; |
期刊 | 中華民國小兒科醫學會雜誌 |
出版日期 | 19920300、19920400 |
卷期 | 33:2 民81.03-04 |
頁次 | 頁89-95 |
分類號 | 417.584 |
語文 | eng |
關鍵詞 | 愛麗絲漫遊仙境症候群; Alice in wanderland syndrome; |
中文摘要 | “愛麗絲漫遊仙境”症候群在臨床上的表現主要是對人或物在形態、大小、距離産生變化的一種知覺錯誤或知覺變形。自1987年至1990年間,馬偕醫院小兒科共經歷十位病例,年齡從三到十歲,七位男孩,三位女孩,都沒有癲癇或偏頭痛及服用幻覺誘發藥物的病史,他們在臨床上表現出對人或物身體輪廓的知覺錯誤或視幻覺,其中九例在二天至四週前有上呼吸道感染的症狀,一例在三天前開始出現水痘。六例病人接受Epstein-Barr病毒的血清檢查,其中二例證實爲Epstein-Barr病毒的急性感染,另三例亦高度認爲和Epstein-Barr病毒感染有關。知覺錯誤等症狀持續的時間從四天到三個月不等,所有病人完全痊癒,沒有任何後遺症。本篇特別強調對於在臨床上以“愛麗絲漫遊仙境”症候群爲表現的病人,在爲病人施行侵襲性或更昂貴的檢查之前,都應先作Epstein-Barr病毒的血清檢查。 “愛麗絲漫遊仙境”症候群的神經學預後良好,對於病人及家屬應詳加解釋,以減輕他們的焦慮和不安。 |
英文摘要 | Ten patients, aged from 3 to 10 years, who had either had attacks of perception errors of body schema and objects or had visual hallucination were enrolled from 1987 to 1990. Seven were boys and three, girls. The metamorphopsia or visual hallucination that has been named the "Alice in Wonderland syndrome" (AIWS) were the leading presentations. All the patients had preceding episodes of upper respiratory tract infection (URI) from two days to four weeks previously except for one who had had chickenpox within the immediate three days of being seen. Among these patients, six had received serological studies for Epstein-Barr (EB) virus infection. Two patients were indeed victims of acute EB virus infection as documented by positive IgM antibody against EB virus capsid antigen, the other three patients were highly suspected of having had recent EB virus infection as suggested by positive Heterophil antibody test and high IgG antibody titer against EB virus capsid antigen (1:320X). The duration of perception disorder ranged from four days to three months. All cases recovered completely, without sequelae. It is emphasized that any young children who present as acute episodes of AIWS should undergo examination for EB virus infection. The neurological outcome of AIWS seems to be good. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。