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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Frontal meningioma mimicking relapse of schizophrenia
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Frontal meningioma mimicking relapse of schizophrenia

机译：正面脑膜瘤模仿精神分裂症复发

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摘要

A 68-year-old woman with a 25-year history of schizophrenia presented with a 3-month history of persecu-tory delusions, amotivation, personality change and forgetfulness. She complained of headaches she believed were caused by her neighbours, whose voices she could hear abusing her. Prior to this, she had been on antipsychotic medication and free of psychotic symptoms for over 10 years. She exhibited impairments in attention, orientation, memory, drawing reproduction, calculation, left-right orientation, and praxis. The patient's presentation was considered atypical for a relapse of schizophrenia. Magnetic resonance imaging (MRI) of the brain obtained with contrast (Figure I) demonstrated a 3 cm mass located anteriorly in the interhemispheric fissure, between the frontal lobes and above the corpus callosum which it distorts (C). The mass demonstrated a low signal centrally on all sequences, in keeping with calcification, and a rim of enhancing tissue around the periphery (B). Extensive vasogenic oedema involving both frontal lobes was seen as a high T2 signal on the axial fluid attenuation inversion recovery (FLAIR) image (A). There was no appreciable diffusion restriction (D) and the remainder of the brain was unremarkable.
机译：一个68岁的女性，具有25年的精神分裂症史，呈现为期3个月的持久性妄想史，散文，人格变化和健忘。她抱怨她认为是由她的邻居引起的头痛，她可以听到她的声音虐待她。在此之前，她一直在抗精神病药药物，并没有精神症状超过10年。她表现出关注，方向，记忆，绘画复制，计算，左右方向和普拉西的障碍。患者的介绍被认为是精神分裂症复发的非典型。用对比度（图I）获得的脑的磁共振成像（MRI）显示了3cm的质量，位于横向于卵形裂缝中，在额叶和胼um上方，其扭曲（C）。质量在所有序列上集中显示了低信号，以保持钙化，以及增强周边（B）周围的组织的边缘。涉及额叶的广泛的促血管内测水肿被视为轴流衰减反转恢复（Flair）图像（A）上的高T2信号。没有明显的扩散限制（D），大脑的其余部分不起眼。

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    VelakoulisD.; GleasonA.; HayhowB.; McNeilP.; GaillardF.;

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    Neuropsychiatry Unit John Cade Building Royal Melbourne Hospital Parkville VIC 3050 Australia;

    Neuropsychiatry Unit John Cade Building Royal Melbourne Hospital Parkville VIC 3050 Australia;

    Neuropsychiatry Unit John Cade Building Royal Melbourne Hospital Parkville VIC 3050 Australia;

    Department of Neurosurgery St Vincent's Hospital Melbourne Fitzroy VIC Australia;

    Department of Radiology Royal Melbourne Hospital Parkville VIC Australia;

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  • 正文语种 eng
  • 中图分类 神经病学与精神病学;
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