作为叶病变的后果,脱人化和脱现:一个案例报告
Jasmyn E A Cunningham1, Caitlin S R Lees2
1Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS, Canada. Jasmyn.cunningham@mail.utoronto.ca.
BMC psychiatry
|March 6, 2024
概括
这份病例报告详细介绍了一名因叶病变引起的非个性化和非现实化的患者. 这些与脑瘤相关的症状突显了这些离散体验的神经生物学.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 在瘤学瘤学.
背景情况:
- 脱人格化和脱现有不同的病因,包括精神病和有机原因,如发作或结构性大脑异常.
- 以前的文献中缺乏关于由于结构性脑损伤而导致的孤立非个性化和非现实化的报道,而没有同时发生的活动或精神疾病.
研究的目的:
- 报告一个孤立的非个性化和非现实化的独特案例.
- 调查叶病变与这些离散症状之间的关联.
- 扩大对去个性化和脱现的神经生物学的理解.
主要方法:
- 一个68岁的女性患者的病例报告.
- 详细的临床表现和神经学检查.
- 症状与成像和治疗反应的相关性.
主要成果:
- 患者出现了由于左叶转移性病变导致的非个性化和非现实化.
- 症状发生在没有临床发作或精神病学的情况下.
- 随着类固醇治疗,观察到症状的初始消失,随后由于疾病进展而复发.
结论:
- 这一案例表明左后叶病理与孤立的非个性化/非现实化之间存在联系.
- 这些发现有助于理解这些现象的神经生物学基础.
- 突出了与瘤进展和治疗相关的症状的时间特异性.
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