Brain Tumor-induced Mania in Schizophrenia

慢性精神分裂症病人疑因腦瘤引起的躁症

周伯翰(Po-Han Chou) ； 平烈勇(Lieh-Yung Ping) ； 葉紅秀(Hong-Shiow Yeh) ； 陳展航(Chin-Hong Chan)

《台灣精神醫學》 23卷3期 (2009/09) Pp. 236-240

https://doi.org/10.29478/TJP.200909.0009

摘要

目的：本文報告一位慢性精神分裂症患者，因顳葉腫瘤導致的躁症發作，並且回顧相關文獻探討治療方式。個案報告：一位長期表現負性症狀的慢性精神分裂症患者，因為癲癇發作而發現右顳葉腫瘤，並因出現話多、情緒高昂、意念飛躍、暴力而轉入急性病房，使用valproate和lithium之後症狀獲得控制。結論：顳葉腫瘤會引起病人的躁症發作，使用情緒穩定劑有助於控制症狀。

關鍵字

顳葉腫瘤 ； 負性症狀 ； 躁症 ； 情緒穩定劑

並列摘要

Objective: We report on a chronic schizophrenic patient with mania induced by a temporal lobe tumor and we also review the related literature. Case report: A schizophrenic patient with negative symptoms was found to have a tumor in the right temporal lobe following a seizure. Albeit being diagnosed, the patient started to have pressure of speech, expansive mood, racing thoughts and violence, and he was transferred to the acute psychiatry ward. After having received valproate and lithium, his condition became stabilized. Conclusion: Temporal lobe tumor may induce secondary mania. Treatment with mood stabilizers can help control symptoms.

並列關鍵字

temporal lobe tumor ； negative symptoms ； mania ； mood stabilizer

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