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双极性障碍患者的韦尼克脑病:一个病例报告
Kateryna Chepenko1, Muhammad Humayoun Rashid1, Ulviyya Turabova1
1Internal Medicine, Capital Health Regional Medical Center, Trenton, USA.
Cureus
|July 21, 2023
概括
韦尼克脑病变 (WE) 是一种神经疾病,在非酒精患者中经常被忽视. 对患有精神疾病,表现为混乱和营养不良的患者来说,早期的胺治疗至关重要.
科学领域:
- 神经学 神经学
- 内部医学 内部医学
- 精神病学是一个精神病学.
背景情况:
- 沃尼克脑病变 (WE) 呈现的神经症状,如混乱,缺氧和眼.
- 滥用酒精是最常见的原因,但WE可以发生在非酒精饮料的个体中,这些个体有导致胺缺乏症的条件.
- 疾病包括恶性瘤,血液透析的慢性病 (CKD),妊娠中高血压和导致营养不良的精神疾病.
研究的目的:
- 突出非酒精患者维尼克脑病变的诊断挑战.
- 强调精神疾病患者早期怀疑和治疗的重要性.
- 介绍一个例证来说明这些诊断困难.
主要方法:
- 一个59岁的女性患有不补偿性双相情感障碍,精神状态发生改变的病例报告.
- 临床检查,广泛的差异诊断工作 (中风,心律失常,,中毒,感染).
- 基于营养不良的外表,早期怀疑韦尼克脑病,随后进行了胺治疗和脑MRI.
主要成果:
- 患者对胺治疗反应良好.
- 大脑MRI证实了维尼克脑内病,在双边中介性乳头部区域具有天赋.
- 这一案例凸显了区分WE症状与其他精神和神经疾病的困难.
结论:
- 在患有精神疾病和营养不良的非酒精患者中,应该怀疑韦尼克脑病变.
- 临床怀疑对于早期诊断和治疗至关重要.
- 及时给予胺可以带来显著的改善.
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