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Depression-like brain lesions


Edge of the disaster rules shadow density mixed units. Confirmed by surgery and pathology deep left frontal vascular malformation rupture. 3 months after complete disappearance of psychotic symptoms, followed for two years without recurrence. Example 3; F, d2 years old. Dizziness, weakness, insomnia, anxiety l0 years, in recent years, increased dizziness. Not eating, depression, loss of libido symptoms of the table the king! I! heavy late morning light, I feel alive to the family and society the burden of guilt from sin. One dead as the cantilever was twice saved by menstrual fluid, and in 1989, 3, no abnormal head CT examination in order to Examination see right abdominal reflex, fatigue, less fluent speech. Followed by MRI and Doppler examination, suspected vascular malformation of the left tear. After surgery and pathological examination confirmed the left frontal lobe shrinkage sea hemangioma. Depressive symptoms disappeared after surgery, no recurrence 1 year follow-up. The group of 23 patients with depression as the first symptom of intracranial space-occupying lesions, early clinical were misdiagnosed. Quiet Zone in particular, the amount of Ru and more cancer patients without focal symptoms, electroencephalography, cerebrospinal fluid pressure and little change in laboratory tests and lack of typical signs for nervous system depression, as this group, will diminish with repeated suicidal behavior in patients , diagnosis, treatment of depression and antidepressant drugs seem beyond reproach, especially in early disease. In order to reduce and avoid mistakes, according to the data and the literature review group made the following points and try as a depression-like brain lesions with depression in the early clinical identification of reference: First, speech impairment on frontal lobe lesions in this group more speech disorder occurs, early for the onset of stuttering, incoherent speech or a rhythmic repetition of syllables and pronunciation extended or interrupted. Language center focused on the frontal temporal two districts. All kinds of speech movement command signal to the central gyrus, constitutes a language movement impulse. Downstream along the pyramidal tract, through the cranial nerves and spinal nerve movement of articulation organs. This week, after the illness should be seen as a pyramidal tract Kouchi early signs of damage, can not be ignored. Second, the clumsy and slow on the action,[link widoczny dla zalogowanych], about half of the cases in this group appears clumsy and slow movement, a movement often divided into two phases to be completed or that there is slack action, jitter and inaccuracy, a serious stagnation when action (grasping Relax grip test positive). I believe that the grip is relaxed test positive early manifestation of frontal lobe damage, is not typical of frontal lobe ataxia signs,[link widoczny dla zalogowanych], seeking special treatment of clinical error Zhun l carp 3 years 6 No. 2, the coexistence of other and stuttering, but also to especially vigilant frontal lesions. Third, on the abdominal reflex asymmetry and fatigue often seen in this group of cases of early abdominal reflex asymmetry ((contralateral lesions reduced or lost), and fatigue. This is the early damage of pyramidal signs in Cambodia, can not be ignored, does not allow non- doing fine check and cross-checked. especially with unexplained edema, hypertension and sexual dysfunction and other endocrine disorders are comorbid. Check the abdominal reflex is more important. Fourth, carefully identify the real spiritual damage associated with intracranial space-occupying lesions Development of mental disorders accounted for 3O ~ 50, with the addition of depressive symptoms as the main frontal, temporal, and parts of the corpus callosum lesions, and can occur before the physical symptoms. Therefore, headache, vomiting, papilledema and so is not brain early diagnosis of lesions only basis, where there is memory, perception and intelligence barriers and suspected intracranial space occupying lesions, the objective should be to make the necessary checks as early as this group were the main reasons for diagnostic errors, is organic brain damage caused by mental disorders and depression in primary affective disorder confused. especially the elderly patients there are varying degrees of brain atrophy and cerebral arteriosclerosis, less prone to high intracranial pressure, combined with some of the early brain material injury, the lack of signs of nervous system orientation. Although attention has depressed,[link widoczny dla zalogowanych], unresponsive,[link widoczny dla zalogowanych], will decline, suicide ideation and suicide behavior, psychotic symptoms, but failed to damage the nervous system disorder caused by emotional state of mind with primary affective disorder bad distinguished. the brain parenchymal damage mistaken for primary affective disorder affective disorder, the disturbance of consciousness caused by cerebral hemorrhage mistaken for the emotional response of mental stimulation, the uncus lobe epilepsy Hao mistaken for the onset of depression atypical hallucinations, brain parenchymal damage will be painful state of mind of free primary means of affective disorder mistaken for worthless concept. damage to the nervous system is not typical signs of inadequate understanding of the direct cause leading to misdiagnosis. but it can not help but point out that the cumulative one-sided psychiatric symptoms, and psychiatric symptoms to get these same diagnostic criteria for depression led units, and failed to accurately grasp the essence of moral damage,[link widoczny dla zalogowanych], delays and omissions in the necessary objective examination, but also an important reason for misdiagnosis. I feel. for the performance after the onset of depressive symptoms, while there is suspicious or atypical neurological signs. If test positive grip relaxed, abdominal reflex asymmetry, or fatigue, stuttering, high blood pressure, endocrine changes, etc., should be highly alert to the Ministry of intracranial lesions possible.