發生在Epstein-Barr病毒腦炎後一個男孩病人之附身現象

A Boy’s Possession State after Epstein-Barr Virus Encephalitis

目的：Epstein-Barr病毒腦炎是個稀少但對大腦組織造成傷害以致產生神經精神症狀表現的嚴重疾病。我們報告一位年輕病人在感染Epstein-Barr病毒腦炎後遂以「附身」現象－－呈現另一個身份為主要神經精神症狀表現。個案報告：此十四歲男孩病人先前並無精神科病史，在確診Epstein-Barr病毒腦炎一個多月後產生急性、陣發性之附身現象。後經多種精神科藥物治療後，上述症狀逐漸緩解消失。結論：用抗精神病劑、抗憂鬱劑以及情緒穩定劑之治療確實對此病人產生療效，但詳細的生物精神病因及致病機轉仍需更進一步之研究以確立。

Objective:Epstein-Barr virus (EBV) encephalitis is a rare but often a severe illness that damages the parenchyma of the brain and shows some neuropsychiat- ric presentations. Case Report:We report an adolescent patient manifesting his presenting a new identity in his possession state, as a neuropsychiatric sequela of previous EBV encephalitis. Clinical recovery achieves following psychotropic treatment within a month. Conclusion: This case underscores the importance of further discussion and study focusing on underlying neurobiological etiology. We also should keep in mind that a possible organic cause involving in “possession trance” manifestation despite of its existing compatible sociocultural background or psychosocial stressors.