精神病学伪装:病例系列。

IF 1 Q3 MEDICINE, GENERAL & INTERNAL Cureus Pub Date : 2024-11-03 eCollection Date: 2024-11-01 DOI:10.7759/cureus.72912
Sreedevi S, Deepthi Pallurath Thekkethil, Bindu Menon
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引用次数: 0

摘要

器质性脑部疾病往往被精神病的表现所掩盖。由于患者的破坏性行为和/或对治疗缺乏适当的反应,这类 "假性精神病 "的治疗可能会变得复杂。在本病例系列中,我们介绍了三个病例,每个病例最初都被诊断为精神病,但后来发现其潜在的神经系统疾病。非典型症状的出现、对药物的不良反应、不成比例的认知障碍和谵妄应成为临床医生寻找潜在脑器质性疾病的警示信号。
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Psychiatric Camouflage: A Case Series.

Organic brain disorders are often camouflaged by psychiatric manifestations. Management of such 'pseudo-psychiatric' illnesses can be complicated due to the disruptive behaviour of the patients and/or lack of appropriate response to treatment. In this case series, we present three cases, each of which was initially diagnosed as a psychiatric illness but was later found to have an underlying neurological disorder. The presence of atypical symptoms, poor response to medications, disproportionate cognitive impairment and delirium should act as warning signs for the clinician to look for an underlying organic brain disorder.

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