在COVID-19后的青少年中出现新发性精神分裂症
Masatsugu Ishii1, Kakusho C Nakajima-Ohyama2,3, Hayato Saito2,4
1Department of Emergency and Critical Care Medicine, Nippon Medical School Musashi Kosugi Hospital.
概括
COVID-19可能会在青少年中引发精神分裂症,可能是通过神经炎症. 对年轻人感染的谨慎管理对于预防精神病发展至关重要.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 传染性疾病 传染性疾病
背景情况:
- 精神分裂症的发作通常发生在青春期.
- 胎儿发育期间的孕产妇感染与精神分裂症发病率的增加有关,这表明神经炎症的作用.
- 青少年COVID-19对精神疾病的影响需要进一步调查.
研究的目的:
- 报告COVID-19感染后青少年出现新发性精神分裂症的病例.
- 探索COVID-19,神经炎症和精神分裂症发展之间的潜在联系.
- 突出管理青少年传染病的重要性,以预防精神疾病.
主要方法:
- 一名16岁男孩在COVID-19后患有新发性精神分裂症的病例报告.
- 临床评估包括磁共振成像 (MRI),脑电图和脑脊液检查,以排除其他疾病.
- 精神病诊断和治疗监测.
主要成果:
- 患者在COVID-19后出现了猫和持续的精神病 (幻觉,妄想).
- 脑炎和通过诊断测试被排除在外.
- 被诊断为精神分裂症,在治疗奥兰zapine后,症状有所改善.
- 神经炎症和右中叶灰质体积减少被假定是导致因素.
结论:
- COVID-19可能会在易感的青少年中起到精神分裂症的触发作用,可能是通过神经炎症途径.
- 这一案例强调了青春期病毒感染后可能出现严重的精神病后果.
- 建议对青少年传染病进行警管理,以减轻发生精神分裂症的风险.
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