[额颞叶痴呆:神经系统疾病的行为故事]。

Florence Lebert, Florence Pasquier
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引用次数: 9

摘要

行为障碍的进展非常缓慢,最初在额颞叶痴呆发病时被孤立,很容易导致他们被忽视,尤其是因为病人是病感病。在没有认知能力下降的情况下,这些病人,无论是否患有神经系统疾病,都经常被带到精神科医生那里。可诱发许多精神疾病:抑郁症、躁狂、强迫性强迫症、精神病、酒精成瘾、贪食症、精神分裂症或第欧根尼综合征。然而,通过详细的临床分析,通常可以很容易地纠正诊断。了解诊断标准中包含的3种行为症状有助于识别额颞叶痴呆,即使影像学和神经心理学数据显示轻微异常。在过去的几年里,各种神经心理学、生物学和环境机制被提出来解释行为障碍。这些疾病对护理人员来说是很难忍受的,因为患者似乎不合群,没有表现出任何影响。与疾病相关的变化的详细信息对于护理人员接受行为变化并应对它们非常重要。然而,随着时间的推移,缄默症的发生可能会导致照顾者后悔这段行为障碍时期。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Frontotemporal dementia: behavioral story of a neurological disease].

The very slow progression of behavioral disorders, initially isolated at the onset of frontotemporal dementia, easily results in their neglect, all the more so since the patients are anosognosic. In absence of cognitive decline, these patients, whatever carrying a neurological disease, are frequently led towards psychiatrists. Many psychiatric disorders may be evoked: depression, mania, compulsive obsessive disorder, psychopathy, alcoholic addiction, bulimia, schizophrenia, or Diogene syndrome. However, the diagnosis can often be easily corrected by a detailed clinical analysis. The knowledge of the 3 behavioral symptoms included in the diagnostic criteria can help to recognize frontotemporal dementia, even when imaging and neuropsychological data show mild abnormalities. In the last few years, various neuropsychological, biological and environmental mechanisms have been proposed to explain the behavioral disorders. These disorders are very difficult to tolerate by the caregivers because the patients appear to be asocial and show no affect. A detailed information of the changes related to the disease is important for the caregivers to accept the behavioral changes and to cope with them. However, over time, the occurrence of mutism may lead caregivers to regret the period of behavioral disorders.

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