老年人视觉和触觉幻觉管理的挑战。

IF 3.9 4区医学 Q1 PSYCHIATRY

World Journal of Psychiatry Pub Date : 2025-01-19 DOI:10.5498/wjp.v15.i1.101946

Si-Sheng Huang

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引用次数: 0

摘要

这封信提供了一个简明的回顾有关文献的视觉和触觉幻觉在老年患者。讨论了触觉幻觉的鉴别诊断和潜在的潜在机制，以及与触觉幻觉相关的精神病理学，并强调了对共存妄想感染（寄生虫病）的可能性进行调查的必要性。这些症状常见于原发性精神障碍、器质性精神障碍和物质使用障碍患者。提出的病理生理机制可能涉及多巴胺能失衡和纹状体多巴胺转运体功能障碍。

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Challenges in the management of visual and tactile hallucinations in elderly people.

This letter provides a concise review of the pertinent literature on visual and tactile hallucinations in elderly patients. The discussion addresses differential diagnoses and potential underlying mechanisms, as well as the psychopathology associated with tactile hallucinations, and emphasizes the necessity for investigation into the possibility of coexisting delusional infestation (parasitosis). These symptoms frequently manifest in patients with primary psychotic disorders, organic mental disorders, and substance use disorders. The proposed pathophysiological mechanisms may involve dopaminergic imbalances and dysfunction of the striatal dopamine transporter.

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来源期刊

World Journal of Psychiatry PSYCHIATRY-

自引率

6.50%

发文量

110

期刊介绍： The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.