未被诊断的精神分裂症呈现为突破性发作
John Coacci1, Peter Viccellio1
1Stony Brook Medicine, Department of Emergency Medicine, Stony Brook, New York.
Clinical practice and cases in emergency medicine
|December 20, 2024
概括
一个罕见的先天性脑疾病,精神分裂症,在一个年轻的移民男性中被诊断出患有难以治愈的. 这一案例凸显了在医疗评估中考虑健康的社会决定因素的重要性.
科学领域:
- 神经学 神经学
- 发育神经科学的发展神经科学.
- 医疗成像医学成像
背景情况:
- 精神分裂症是一种罕见的先天性神经发育障碍.
- 呈现方式各不相同,包括难以治疗的和神经认知缺陷.
- 健康的社会决定因素可能会阻碍事先的医疗评估.
研究的目的:
- 报告一个未被诊断的精神分裂症病例,呈现为突破性发作.
- 强调神经成像在诊断先天性大脑异常方面的作用.
- 强调考虑患者病史和社会因素的重要性.
主要方法:
- 一个19岁的男性最近移民的案例介绍.
- 进行了计算机断层扫描 (CT) 和磁共振成像 (MRI).
- 临床评估难治性和突破性发作.
主要成果:
- 神经成像显示出一个巨大的右前侧对称的开嘴精神分裂症与质量效应.
- 这位患者有史以来不治性,以前没有被诊断出来.
- 突破性发作发生的原因是与移民有关的药物不服药.
结论:
- 精神分裂症是一种罕见的疾病,具有多种神经学表现.
- 管理重点是控制和康复.
- 紧急医生应该意识到影响患者护理的健康社会决定因素.
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