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目的 探讨癫痫性精神病幻觉、妄想、Schneider的一级症状的发生频率和本症状群与癫痫灶的关系以及与精神分裂症的相似性。方法 分析42例癫痫性精神病患者的临床资料及脑电图、CT、MRI资料,并与精神分裂症患者对照。结果 主要精神病症状出现频率为幻觉 47.62％,妄想 66.67％,Schneider的一级症状35.71％,本症状群颞叶病灶区为高。结论 推测颞叶损害可能是癫痫性精神病和精神分裂症共同的病理基础。
Objective To investigate the incidence of epileptic psychosis hallucinations, delusions, the first-order symptoms of Schneider and the relationship between this symptom group and epileptic foci and their similarities with schizophrenia. Methods The clinical data, EEG, CT and MRI data of 42 cases with epileptic psychosis were analyzed and compared with schizophrenia patients. Results The frequency of major psychiatric symptoms was 47.62%, delusional 66.67%, Schneider’s first grade symptom 35.71%, and the symptom group was high in temporal lobe lesions. Conclusion It is speculated that temporal lobe damage may be the common pathological basis of epileptic psychosis and schizophrenia.