Apathetic Affect as Early Sign of Frontal Lobe Tumor in Patient without Obvious Neurological Findings but with RemarkablePsychosocial Stressors

表情平坦為早期症狀的額葉腦瘤個案：以一名輕微神經學徵候但有明顯社會心理壓力事件者為例

黃偉烈(Wei-Lieh Huang) ； 劉智民(Chih-Min Liu) ； 廖士程(Shih-Cheng Liao)

《台灣精神醫學》 25卷4期 (2011/12) Pp. 283-286

https://doi.org/10.29478/TJP.201112.0008

並列摘要

Background: Whether a brain tumor can be efficiently detected by psychopathology is an important issue for psychiatrists. Case Report: We present was a 44- year-old male patient who showed apathetic affect after suffering from psychosocial stressors. He was diagnosed as a depressive disorder for a time due to not having obvious neurological signs at his first psychiatric clinic visit, but imaging studies finally revealed the finding of a huge glioblastoma multiforme. Conclusion: This case report shows that apathetic affect can be an early sign of a frontal lobe tumor, which may be found before the development of definite neurological signs. In patients with both remarkable psychosocial stressors and atypical clinical presentations, brain tumor is still a diagnosis of concern and should not be underestimated or overlooked.

並列關鍵字

frontal lobe tumor ； apathetic affect ； psychosocial stressor ； neuroimaging

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