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以精神障碍为突出表现的脑肿瘤──附22例分析

Brain tumor manifested prominently with mental symptoms: analysis of 22 cases

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【作者】 郭锦滔吴穗玲黄慈芬

【Author】 Guo.Jintao ; Wu Suiling; HuangCifen. (The Third People’s Hospital of Foshan, Foshan. 528O4l)

【机构】 广东佛山市第三人民医院!528041

【摘要】 目的:探讨以精神障碍为首发或突出表现的脑肿瘤的临床特点。方法:对22例病人的临床资料进行回顾性分析。结果:大部分患者肿瘤位于间脑及颞叶,占73%(16/22),精神障碍症状以分裂样症状及痴呆表现为主。半数误诊为精神分裂症。结论:间脑及颞叶区肿瘤可以精神症状为首发或突出表现。对拟诊为精神分裂症、痴呆等精神疾患的患者应作头颅CT检查,以排除脑肿瘤。

【Abstract】 Objective: To explore the clinica1 characteristics of brain tumor manifested initially or prominentlywith mental symptoms. Method: Clinical data of 22 cases were analyzed retrospectively. Results: Tumor withmental symptoms was mostly located in diencephalon or temporal lobe (73%, l6/22), schizophrenia and dementiawere the main manifestation found in these patients, half of whom were misdiagnosed as schizophrenia. Conclusion:Diencephalon and temporal tumor tends to manifest initially or prominently with mental symptoms. Diagnosis of men-tal disorders such as schizophrenia or dementia can only be made after exclusion of brain tumor by CT scan.

【关键词】 脑肿瘤精神分裂症痴呆
【Key words】 Brain neoplasms Schizophrenia Dementia
  • 【分类号】R739.41
  • 【被引频次】1
  • 【下载频次】43
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