クルーツフェルト・ヤコブ病の新型変種:精神疾患の特徴
M Zeidler1, E C Johnstone, R W Bamber
1National Creutzfeldt-Jakob Disease Surveillance Unit, Western General Hospital, Edinburgh, UK.
Lancet (London, England)
|October 7, 1997
まとめ
新しい変異のクレッツフェルト・ヤコブ病 (nvCJD) は,早期の精神症状を一貫して提示し,しばしばうつ病を模倣します. nvCJDを区別するには,精神疾患の特徴と並行して神経学的徴候のモニタリングが必要です.
科学分野:
- 神経学 神経学とは
- 精神科医は精神病を患っている.
背景:
- 1996年に新しい変種であるクレッツフェルト・ヤコブ病 (nvCJD) が発生した.
- nvCJDの症例は,主に精神症状を伴う.
研究 の 目的:
- 初期のNVCJD症例の精神学的特徴を詳細に説明する.
- nvCJDにおける精神症状の診断的有用性を評価する.
主な方法:
- 14件のnVCJD事件のケースノートと親戚のインタビューのレビュー.
- 13件の精神科医による評価.
主要な成果:
- 14人の患者は全員,精神疾患の初期症状を示し,9人の最初の症状は精神疾患であった.
- ほとんどの精神科の診断は,うつ病または有機疾患による二次性うつ病でした.
- 精神病的な症状や幻覚は,後になって神経学的兆候が発現し,いくつかのケースで発生しました.
結論:
- 精神疾患の症状は,nVCJDの早期の指標である.
- 一般的な精神疾患からNVCJDを区別することは,精神疾患の症状のみに基づいて困難です.
- 神経学的欠陥の発生は,nVCJDの診断において極めて重要です.
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