一例月经期精神病,诊断不充分

Woodward Kiel, Wright Rhonda, Rathore Geetanjali
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引用次数: 0

摘要

月经期精神病是一种罕见的疾病,会随着患者的月经周期而引起精神病症状。我们报告了一个14岁女孩出现这种症状的病例。我们的患者在被诊断为链球菌性咽炎并开始接受抗菌治疗后不久,出现了五天的嗜睡、偏执和幻觉。她的神经系统检查对轻度情感和精神运动迟缓有重要意义。由大脑MRI、脑电图、LP、脑病小组以及代谢、感染和炎症实验室分析组成的彻底检查并不显著,她在症状出现后约一周未经治疗就康复了。在接下来的10个月里,患者又两次复发和症状自行缓解,重复检查呈阴性;她的家人注意到,她的症状似乎总是与月经的发作相吻合。她开始服用联合口服避孕药,此后症状没有进一步复发。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Case of Menstrual Psychosis, an Under Recognized Diagnosis
Menstrual psychosis is a rare disorder that causes psychotic symptoms in conjunction with a patient’s menstrual cycle. We present a case of a 14-year-old girl who presents with such symptoms. Our patient presented with five days of somnolence, paranoia, and visual hallucinations soon after a diagnosis of streptococcal pharyngitis and being started on antimicrobial therapy. Her neurologic exam was significant for flat affect and psychomotor slowing. A thorough work-up consisting of brain MRI, EEG, LP, encephalopathy panel, along with metabolic, infectious, and inflammatory laboratory analysis was unremarkable, and she recovered without therapy about one week after symptom onset. Patient had recurrence and spontaneous resolution of her symptoms two more times over the next 10 months with repeat work-up negative; her family noted that the onset of her symptoms always seemed to coincide with the onset of her menses. She was started on combination oral contraceptive pills and has had no further recurrence of her symptoms since then.
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