多发性腔隙梗塞致精神障碍的临床表现与磁共振成像

Psychiatric manifestations of multiple lacunar infarction

16例多发性腔隙梗塞均以磁共振显像确诊。临床表现精神症状类型为分裂样精神病、抑郁状态、躁狂-抑郁交替发作与慢性脑病合并分裂样精神病四类。其差异与患病年龄和病变部位等有关。脑电图仅37.5%异常率,与MRI对照有显著差异。病理反射可提供部分诊断线索。

Clinical psychiatric features of 16 cases of multiple laeunar infarction diagnosed with MRI were analyzed, including 4 types: schizophrenia-like disorder, depressive state, manicdeprcssive episodes, and chronic brain syndromes. The manifestations vary with the age of the patient and the location of the pathological foci. Diagnostic value of EEG was lower than that of MRI, and the positive pathological relexes can be seemed as the criteria for diagnosing.