患有自身免疫性脑炎的患者的犯罪行为:一系列病例
Sophia Michael1,2, James Varley1,2, Robyn Williams1,3
1Oxford Autoimmune Neurology Group, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
European journal of neurology
|January 8, 2024
概括
犯罪行为在自身免疫性脑炎 (AE) 患者中是一种罕见的新发现,即使在治疗后也是如此. 这些严重的神经行为变化可以在AE发作后的几个月或几年出现,影响社会和法律领域.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
背景情况:
- 自身免疫性脑炎 (AE) 是一种免疫疗法反应的神经综合征.
- 患者经常经历治疗后持续的神经行为问题.
- 犯罪行为是一个新发现的,与AE的严重关联.
研究的目的:
- 报告和描述犯罪行为作为一种新的脑后后果.
- 调查AE患者表现出犯罪行为的临床和免疫特征.
主要方法:
- 301名AE患者的回顾性队列研究.
- 对五名犯罪患者进行了深入评估,包括对记录和自身抗体研究的审查.
- 对病前精神疾病和人格特征的评估.
主要成果:
- 在301名AE患者中,有5人 (1.7%) 表现出犯罪行为,包括儿童色情犯罪,商店盗窃和谋杀阴谋.
- 所有受影响的患者都是成年男性,具有特定的自身抗体 (LGI1,CASPR2) 或血清阴性AE.
- 在脑炎发作后15个月至12年,犯罪行为表现为持续的神经行为和新的强迫症状,尽管认知和发作有所改善.
结论:
- 犯罪行为代表了一种罕见的,新的,在AE中标志性的神经行为现象型.
- 这些行为具有重大的社会和法律影响.
- 它们可能代表脑后边缘神经行为综合征,需要谨慎考虑.
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