题名

Complex Psychiatric Presentations in a Patient with Stiff-person Syndrome

并列篇名

僵直人症候群臨床精神症狀的多樣性

DOI

10.29478/TJP.201109.0010

作者

葉卓俞(Chuo-Yu Yeh);呂少鈞(Shao-Chun Ree);簡浴沂(Yu-Yi Jian);蕭正誠(Cheng-Cheng Hsiao);陳志根(Chih-Ken Chen)

关键词

stiff-person syndrome ; psychiatric symptoms ; amnesia ; motor disturbance

期刊名称

台灣精神醫學

卷期/出版年月

25卷3期(2011 / 09 / 01)

页次

204 - 207

内容语文

英文

英文摘要

Objective: We report a case of stiff-person syndrome in a female patient, who presented multiple psychiatric symptoms and signs. Case Report: A 60-year-old Asian female patient had a 10-year-history of experiencing waxing and waning depression and anxiety symptoms before being diagnosed with stiff-person syndrome. Amnesic symptoms were occurred together with mood symptoms and stiffperson syndrome two years after having the neurological diagnosis. Conclusion: Stiff-person syndrome, an uncommon neurological disorder, is frequently comorbid with psychiatric symptoms and signs. This syndrome is complex and needs further investigations.

主题分类 醫藥衛生 > 社會醫學
参考文献
  1. Ameli, R,Snow, J,Rakocevic, G,Dalakas, MC(2005).A neuropsychological assessment of phobia in patients with stiff person syndrome.Neurology,64,1961-1963.
  2. Andreadou, E,Kattoulas, E,Sfagos, C,Vassilopoulos, D(2007).Stiff person syndrome: avoiding misdiagnosis.Neurological Sciences,28,35-37.
  3. Bastin, A,Gurmin, V,Mediwake, R,Gibbs, J,Beynon, H(2002).Stiff man syndrome presenting with low back pain.Ann Rheum Dis,61,939-940.
  4. Black, JL,F.A.P.M.,Barth, EM,Williams, DE,Tinsley, JA(1998).Stiff-man syndrome: results of interview and psychological testing.Psychosomatics,39,38-44.
  5. Dalakas, MC,Fujii, M,Li, M,McElroy, B(2000).The clinical spectrum of anti-GAD antibody-positive patients with stiff-person syndrome.Neurology,55,1531.
  6. Dinnerstein, E,Collins, D,Berman, SA(2007).A patient with post-traumatic stress disorder developing stiff person syndrome: is there a correlation?.Cogn Behl Neurol,20,136-137.
  7. Hennigsen, P,Clement, U,Kuchenhoff, J,Simon, F,Meinck, HM(1996).Psychological factors in the diagnosis and pathogenesis of stiff-man syndrome.Neurology,47,38-42.
  8. Hennigsen, P,Meinck, HM(2003).Specifi c phobia is a frequent non-motor feature in stiff man syndrome.J Neurol Neurosurg Psychiatry,74,462-465.
  9. Rowlan, LP(ed.),Pedley, TA(ed.)(2009).Merrit's Neurology.Philadelphia:Lippincott Williams & Wilkins.
  10. Sadock, BJ,Sadock, VA(2007).Dissociative disorder. Synopsis of Psychiatry.Philadelphia:Lippincott Williams & Wilkins, A Wolters Kluwer Business.