Cerebral blood flow changes in very-late-onset schizophrenia-like psychosis with catatonia before and after successful treatment

被引：17

作者：

Tsujino, Naohisa ^{[1
]}

Nemoto, Takahiro ^{[1
]}

Yamaguchi, Taiju ^{[1
]}

Katagiri, Naoyuki ^{[1
]}

Tohgi, Nao ^{[1
]}

Ikeda, Ryu ^{[1
]}

Shiraga, Nobuyuki ^{[2
]}

Mizumura, Sunao ^{[2
]}

Mizuno, Masafumi ^{[1
]}

机构：

[1] Toho Univ, Sch Med, Dept Neuropsychiat, Tokyo 1438541, Japan

[2] Toho Univ, Sch Med, Dept Radiol, Tokyo 1438541, Japan

来源：

PSYCHIATRY AND CLINICAL NEUROSCIENCES | 2011年 / 65卷 / 06期

关键词：

catatonia; delusion; easy Z-score imaging system; SPECT; very-late-onset schizophrenia-like psychosis; SPECT; PERFUSION;

D O I：

10.1111/j.1440-1819.2011.02257.x

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The purpose of the present study was to investigate regional cerebral blood flow (rCBF) changes in a patient with very-late-onset schizophrenia-like psychosis (VLOS) with catatonia. A 64-year-old woman developed catatonia after experiencing persecutory delusions. The patient's rCBF was examined using single photon emission computed tomography (SPECT) with easy Z-score imaging system. Before treatment, hypoperfusion was observed in the striatum and the thalamus, whereas hyperperfusion was observed in the left lateral frontal cortex and the left temporal cortex. After treatment, the disproportions in rCBF disappeared, and hyperperfusion was observed in the motor cortex. Sequential SPECT findings suggest that rCBF abnormalities may be correlated with the symptomatology of catatonia in patients with VLOS.

引用

页码：600 / 603

页数：4

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