题名

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

并列篇名

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

DOI

10.29478/TJP.201112.0008

作者

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

关键词

frontal lobe tumor ； apathetic affect ； psychosocial stressor ； neuroimaging

期刊名称

台灣精神醫學

卷期/出版年月

25卷4期（2011 / 12 / 01）

页次

283 - 286

内容语文

英文
英文摘要

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.
主题分类 醫藥衛生 > 社會醫學
参考文献
  1. Andersson, P. G.(1970).Intracranial tumors in a psychiatric autopsy material.Acta Psychiatr Scand,46,213-24.
  2. Arieti, S. F. D.(ed.),Hamburg, D. A.(ed.)(1974).American Handbook of Psychiatry.New York:Basic Book.
  3. Cole, G.(1978).Intracranial space-occupying masses in mental hospital patients: necropsy study.J Neurol Neurosurg Psychiatry,41,730-6.
  4. Madhusoodanan, S.,Danan, D.,Moise, D.(2007).Psychiatric manifestations of brain tumors: diagnostic implications.Expert Rev Neurother,7,343-9.
  5. Paykel, E. S.(2003).Life events and affective disorders.Acta Psychiatr Scand Suppl,418,61-6.
  6. Remington, F. B.,Rubert, S. L.(1962).Why patients with brain tumors come to a psychiatric hospital: a thirty-year survey.Am J Psychiatry,119,256-7.
  7. Sadock, B. J.(ed.),Sadock, S. V.(ed.)(2004).Comprehensive Textbook of Psychiatry.New York:Lippincott Williams & Wilkins.
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