失智症與假性失智

A Case of Dementia with Depression Incorrectly Diagnosed as Pseudodementia

莊慧馨(Hui-Hsin Chuang)

《童綜合醫學雜誌》 8卷1期 (2014/06) Pp. 45-48

摘要

84歲退休男性第一次心身科求診因憂鬱情緒、活動量下降、失眠、無胃口、社交退縮、不愛講話、活動量變少、反應變遲鈍、以及記憶力變差。初步診斷憂鬱症合併假性失智並給予抗憂鬱劑適當療程，個案憂鬱情緒改善但仍存明顯記憶與認知功能障礙，日常生活功能受影響的程度擴大且出現被偷竊想法。後由病程澄清個案的記憶力狀況與日常生活功能，早在憂鬱情緒前即出現缺損，加上臨床治療過程、心理測驗結果以及症狀變化，鑑別診斷憂鬱症合併假性失智或失智症合併憂鬱，重新診斷為失智症合併憂鬱並給予適切的治療。

關鍵字

老年憂鬱症 ； 假性失智 ； 失智症

並列摘要

A retired 84-year-old male presented with depression, lack of energy, anhedonia, social withdrawal, poor sleep, poor memory, and cognitive impairment after the death of his wife. An antidepressant agent was administered after the provisional diagnosis of the first episode of major depressive disorder with pseudodementia. However, symptoms such as impaired cognitive function, poor memory, and impaired life function persisted after adequate antidepressant doses. The diagnosis was revised to dementia with depression because of the pattern of symptoms and signs, clinical response, and past history. Under the corrective diagnosis, he received appropriate treatment.

並列關鍵字

geriatric depression ； pseudodementia ； dementia