以精神障碍为主要临床表现的53例散发性脑炎分析

An analysis of 53 non-specific encephalitis patients with predominant psychiatric symptoms

该文报告以精神障碍为主的散发性脑炎53例。其中兼有精神运动性抑制和精神运动性兴奋两类症状者35例(66.0%),单纯精神运动性抑制症状者12例(22.6%),单纯运动性兴奋者6例(11.3%),有意识障碍者38例(71.4%),脑炎液异常者21例(45.7%),脑电图异常者35例(87.5%),41例(77.4%)早期被误诊。结果表明,以精神障碍为主的散发性脑炎临床表现酷似功能性精神疾病,容易误诊,值得注意。

The authors made a clinical analysis of 53 cases of non-specific eneephalitis which manifested predominantly mental abnormalities. Most of these patients (66.0%) had both psychomotor depressive and excitatory symptoms, while the patient with only psychomotor depressive symptoms were next frequent (22.6%). The patients with only psychomotor excitatory symptoms were the least frequent(11.1%). About 3 of 4 the series had disturbance of consciousness. The CSF was abnormal in 45.7%of cases and abnormal EEG was found in 87.5%of cases.41 cases were misdiagnosed during the early phase of disease.The authors were of the opinion that the differential diagnosis of this type of non-specific encephalitis should include both functional psychosis.