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少突神经胶质瘤病人可出现各种心理症状,但很少出现躁狂。本病例报告描述了一名55岁的男性,具有三年攻击性躁狂症病史,该患者最初被诊断为慢性躁狂但随后的MRI检查发现了脑肿瘤。本报告强调了在患者呈现非典型精神障碍表现时考虑不同器质性鉴别诊断的重要性。对发病年龄较晚的、对恰当的药物治疗没有反应的患者,应考虑脑部肿瘤并进行脑影像检查。
Patients with oligodendroglioma may present with various psychological symptoms, but rarely develop mania. This case report describes a 55-year-old man with a three-year history of aggressive mania who was initially diagnosed with chronic mania but subsequently had a brain tumor found on an MRI examination. This report highlights the importance of considering various organic differential diagnoses in patients presenting with atypical mental disorders. Patients younger than the age of onset that do not respond to the appropriate medical treatment should be brain tumors and brain imaging should be considered.