癫痫伴有精神分裂样症状74例临床分析及随访

• 作 者: 张江生 唐文忠 闵春生 俞惠龙 金彩娣 沈宣 周金娣 宋长春 徐俊冕
• 机 构: 上海市精神病防治院,上海市精神病防治院,上海市精神病防治院,上海市精神病防治院,上海市精神病防治院,上海市精神病防治院,上海市精神病防治院,上海市精神病防治院,上海市精神病防治院,
• 出 处: 神经精神疾病杂志
• 发表日期: 1980年01期
• 关键词: 精神分裂症 症状 癫痛 分裂样精神病 癫痫性 脑器质性 发作史 临床分析 幻觉 精神病

报告74例精神分裂样症状的癫痫之临床分析和随访结果,都有较长的癫痫发作史,精神症状出现时癫痫发作大多停止或减少,距首次癲痫发作的时间平均为11.2年,临床酷似精神分裂症,以类似妄想型者居多。71例随访中29例病情波动,22例趋向好转,20例趋向慢性。预后受癫痫首发年龄与出现精神症状间隔时间等影响。认为精神症状是反复抽搐引起脑器质性损害的结果,名为癫痫性精神分裂样精神病较合适,提出了与精神分裂症相鉴别的要点。

Report of 74 cases of schizophreniform symptoms of epilepsy clinical analysis and follow-up results, have a longer history of seizures, psychosocial symptoms occurred mostly stopped or reduced seizures, from the first epileptic seizure average time of 11.2 years, the clinical resembles Schizophrenia, mostly paranoid. In the 71 cases, 29 cases were fluctuated, 22 cases tended to improve, and 20 cases tended to be chronic. Prognosis by the age of onset of epilepsy and the emergence of mental symptoms such as interval time. Mental symptoms are thought to be the result of repeated brain-twitch-induced brain damage, called epileptic schizophreniform psychosis is more appropriate, put forward the main points and schizophrenia identified.