可能次發於幼童型中風之躁症

Manic Episodes Possibly Secondary to Pediatric Ischemic Stroke

背景：腦中風後之躁症很少被提及，且大部分被報告的個案與非優勢大腦相關。我們 報告這名個案，其躁症症狀可能次發於兒童期的優勢大腦中風。病例報告：22 歲右利手男 性，有左側中大腦動脈灌流區中風之病史。在中風後，他併發了憂鬱症狀，當時並未使用 抗憂鬱藥物治療。五年後發生了第一次的躁症，病人使用鋰鹽及Risperidone 治療後獲得改 善。結論：除了大腦的左右對側性外，其他的腦部損傷也可能與躁症之發生相關。針對這個 領域的研究，有助於我們了解躁症或情緒之相關腦功能區。

Background: Post-stroke mania has rarely been reported, and the lesions of most reported cases have been involved in the non-dominant hemisphere of the brain. We reported a case of mania probably secondary to stroke with a lesion in the dominant hemisphere. Case Report: A 22-year-old, right-handed male patient had a history of pediatric stroke involved in the left middle cerebral artery territory of the brain. He became depressed right after the stroke, and fi ve years later he developed a manic episode. He received lithium and risperidone with satisfactory response. Conclusion: The brain lesion other than laterality may play an important role on the etiology of mania. The research on secondary mania after the stroke is needed to explore the relationship between mood and brain functional region.