与急性精神病相关的连接性隔离症在右丘脑中风后:一个病例报告
Giorgia Adamo1, Alessandro Salvalaggio2, Lorenzo Pini3
1Department of Neurology, Azienda Ospedale-Università of Padova, Padova, Italy.
概括
一次罕见的乳头中风引起了突然的精神症状,包括混乱和幻觉. 这种大脑损伤破坏了前额皮层的连接,导致认知缺陷和情绪不稳定.
科学领域:
- 神经学 神经学
- 神经精神病学是一种神经精神病学.
- 神经成像是一种神经成像.
背景情况:
- 胸膜病变很少与精神病综合征有关.
- 突然出现的精神症状可能表明潜在的神经事件.
研究的目的:
- 报告一种罕见的精神病综合征病例,该病例发生在右丘脑缺血事件后.
- 探索潜在的甲状腺断裂机制及其对认知和情绪功能的影响.
主要方法:
- 一个51岁的男性突然出现精神症状的病例报告.
- 诊断成像包括头部CT,MRI和大脑[18F]FDG PET-MRI.
- 神经心理测试评估了执行功能,记忆和视觉感知技能.
主要成果:
- 磁力共振成像 (MRI) 揭示了在 thalamus 的右脊中核 (MDN) 中的一个缺血病变.
- PET-MRI显示右侧前额叶皮质的低代谢,表明断开了连接.
- 患者在执行功能,记忆和视觉感知方面表现出缺陷.
- 随着RISPERIDONE和VENLAFAXINE治疗,精神病症状有所改善.
结论:
- 右丘脑缺血,特别是影响MDN,可以导致急性精神综合征.
- 胸膜病变可能导致前额叶皮层网络的结构和功能断开.
- 了解这些网络中断对于治疗策略和类似病例的预后至关重要.
更多相关视频
05:32Author Spotlight: Assessing Ischemic Stroke Damage Through Middle Cerebral Artery Occlusion Model
Published on: August 11, 2023
2.8K
08:53Randomized, Triple-Blind, and Parallel-Controlled Trial of Transcranial Direct Current Stimulation for Cognitive Rehabilitation after Stroke
Published on: June 6, 2025
1.5K
相关概念视频
01:27Psychosis: Pathophysiology of Schizophrenia and Other Psychotic Disorders
Schizophrenia is a neurodevelopmental disorder whose origins are rooted in complex genetic components. Despite our burgeoning understanding, the pathophysiology of this disorder remains incompletely deciphered.
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within the...
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within the...
01:27Dissociative Disorders
Dissociative disorders represent complex psychological conditions characterized by disruptions in consciousness, memory, identity, or perception. These disruptions cause individuals to experience a disconnection from their thoughts, emotions, and memories. The phenomenon is not merely an occasional lapse in attention but a profound alteration in mental functioning that can severely impact daily life.
Dissociative Fugue
A hallmark feature of dissociative disorders is the dissociative fugue...
Dissociative Fugue
A hallmark feature of dissociative disorders is the dissociative fugue...