| 周莉娜,刘培强.韦尼克脑病误诊为精神分裂症1例[J].四川精神卫生杂志,2023,36(4):377-379.Zhou Li'na,Liu Peiqiang,Wernicke's encephalopathy misdiagnosed as schizophrenia： a case report[J].SICHUAN MENTAL HEALTH,2023,36(4):377-379 |
| 韦尼克脑病误诊为精神分裂症1例 |
| Wernicke's encephalopathy misdiagnosed as schizophrenia： a case report |
| 投稿时间：2023-02-02 |
| DOI：10.11886/scjsws20230202004 |
| 中文关键词: 精神障碍 韦尼克脑病 维生素B1 |
| 英文关键词:Mental disorder Wernicke's encephalopathy Vitamin B1 |
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| 中文摘要: |
| 本文报道了1例误诊为精神分裂症的韦尼克脑病病例。患者1月余前在当地精神专科医院住院，诊断为精神分裂症。12天前逐渐出现流涎、进食困难、双手发抖、行走不稳、舌后坠等情况，按照药物不良反应处理后效果差，并出现意识障碍。转入我院并完善检查后考虑为韦尼克脑病合并周围神经病，因患者病情进展，家属放弃治疗、要求出院，患者于院外死亡。通过本案例报道，旨在提高对精神障碍患者韦尼克脑病的认识和早期预防，以改善预后。 |
| 英文摘要: |
| This article presents a case report of Wernicke's encephalopathy misdiagnosed as schizophrenia. The patient was hospitalized and diagnosed with schizophrenia at a local psychiatric hospital over a month ago. Twelve days ago， the patient gradually developed symptoms such as salivation， difficulty in eating， trembling hands， unsteady walking， glossoptosis and so on. The above symptoms were interpreted as drug-induced adverse reactions and managed accordingly， whereas the patient showed a poor response to treatment， and began to experience intermittent consciousness disorder. After referral to our hospital， findings were diagnostic for Wernicke's encephalopathy and peripheral polyneuropathy. Due to the progression of the disease， the family members abandoned further treatment and requested discharge from the hospital， and the patient died outside the hospital. This case report aims to improve the prognosis of Wernicke's encephalopathy in patients with mental disorder by raising the awareness of the disease and enhancing the early prevention. |
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