表现为抑郁和认知障碍的双侧丘脑星形细胞瘤

IF 0.2 Q4 PSYCHIATRY
B. Annigeri, K. Priyankha, Rajesh Raman
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引用次数: 0

摘要

丘脑是大多数传入通路的中继站。丘脑病变会导致抑郁症状、焦虑、注意力不集中和记忆障碍等精神症状。本病例报告描述了一名 35 岁的女性患者,她表现出悲伤、对日常活动不感兴趣、焦虑、哭泣和其他精神症状。经详细询问,她还被发现注意力减退、注意力不集中和短期记忆障碍,检查时未发现局灶性神经功能缺损。脑部磁共振成像显示,她患有双侧丘脑低级别星形细胞瘤。本病例表明,在抑郁/焦虑的情况下,仔细了解患者的冷漠和认知功能障碍是非常重要的。在这个病例中,抑郁和焦虑症状的临床表现远不止这些。面无表情、冷漠和某种程度的无意识,将我们熟悉的抑郁和焦虑症状与丘脑病变引起的认知功能下降区别开来。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bilateral Thalamic Astrocytoma Presenting as Depression and Cognitive Impairment
The thalamus is the relay site for most afferent pathways. Thalamic lesions cause mental symptoms such as depressive symptoms, anxiety, poor attention and concentration, and memory disturbances. This case report describes a 35-year-old female patient who presented with sadness, disinterest in daily activities, anxiety, crying spells, and other mental symptoms. On detailed inquiry, she was also found to have reduced attention, concentration, and short-term memory disturbances, with no focal neurological deficit on examination. Imaging with magnetic resonance imaging brain revealed a bilateral thalamic low-grade astrocytoma. This case demonstrates that a careful understanding of the apathy and cognitive dysfunction in the presence of depression/anxiety is consequential. In this case, there is more to the clinical presentation of the symptoms of depression and anxiety than meets the eye. The expressionless face, apathy, and a certain degree of unawareness mark out the familiar depressive and anxiety symptoms from cognitive decline seen in thalamic lesions.
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来源期刊
自引率
25.00%
发文量
38
审稿时长
23 weeks
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