脑出血、视幻觉与COVID-19:有什么联系?脑出血后幻脚症的病例相关文献综述

Nicolas M. Nagysomkuti Mertse, Lisa Zenorini, R. Müri
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引用次数: 1

摘要

先前的出版物讨论了COVID-19患者脑出血、幻觉和精神病的发生。在本文中,我们回顾了有关该主题的文献,同时描述了一名63岁女性患者的病例,该患者在诊断出COVID-19两周后右侧基底神经节和丘脑出现脑出血,并在不久之后出现视幻觉。我们的结论是,尽管根据目前的文献,COVID-19与幻觉之间可能存在相关性,但还需要更多的研究来澄清。在我们的病例中,我们更倾向于将幻觉解释为与脑出血有关的脚基幻觉。我们将本例患者的病灶定位与Pubmed上报道的其他15例脑出血后出现脑底幻觉的病例进行了比较。综上所述,病变位于脑桥的占52.9%,丘脑和/或基底节区占17.7%,中脑占17.7%,颞叶和枕叶分别占5.8%。我们发现的分布模式与之前提出的幻觉背后的机制是一致的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intracerebral Hemorrhage, Visual Hallucination and COVID-19: What Is the Connection? A Case-Related Review of the Literature on Peduncular Hallucinosis Following Intracerebral Hemorrhage
Previous publications have discussed the occurrence of intracerebral hemorrhages, hallucinations and psychosis in COVID-19 patients. In this article, we have reviewed the literature on the subject while depicting the case of a 63-year-old female patient who suffered from an intracerebral hemorrhage in the right basal ganglia and thalamus two weeks after a COVID-19 diagnosis and who developed a visual hallucinosis shortly after. We concluded that, while there may be a correlation between COVID-19 and hallucinations according to current literature, more research is yet needed to clarify. In our case, we rather interpreted the hallucinations in the context of a peduncular hallucinosis related to the intracerebral hemorrhage. We compared our patient’s lesion localization to other 15 reported cases of peduncular hallucinations following intracerebral hemorrhages reported on Pubmed. In summary, the lesions were localized in the pons in 52.9% of the cases, 17.7% were in the thalamus and/or the basal ganglia, 17.7% in the mesencephalon and respectively 5.8% in the temporal and occipital lobe. The distribution pattern we found is consistent with the previously proposed mechanism behind peduncular hallucinations.
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