Journal of Zhejiang University SCIENCE B 2026 Vol.27 No.4 P.416-425

http://doi.org/10.1631/jzus.B2500307


Sporadic Alzheimer’s disease with bipolar-like features: a case report and a brief review of the current research status


Author(s):  Lingzhuo KONG, Yan YANG, Weihua ZHOU, Shaohua HU

Affiliation(s):  1. Department of Psychiatry, The First Affiliated Hospital, Zhejiang University School of Medicine,Hangzhou310003,China more

Corresponding email(s):   dorhushaohua@zju.edu.cn

Key Words:  Alzheimer’s disease, Frontotemporal dementia, Affective disorders, Diagnosis, Therapeutics, Case report


Lingzhuo KONG, Yan YANG, Weihua ZHOU, Shaohua HU. Sporadic Alzheimer’s disease with bipolar-like features: a case report and a brief review of the current research status[J]. Journal of Zhejiang University Science B, 2026, 27(4): 416-425.

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Abstract: 
alzheimer’s disease (AD) is among the main causes of cognitive impairment, memory loss, and dementia, particularly in old adults. It has been listed as one of the most expensive, lethal, and burdening diseases of the 21st century and develops with the process of aging worldwide (Scheltens et al., 2021). Currently, it is widely acknowledged that the typical pathogenesis of AD involves the deposition of amyloid-β (Aβ) and Tau proteins in the cerebral parenchyma and vasculature, intraneuronal neurofibrillary tangles, and the gradual degeneration of synapses (Scheltens et al., 2016; Rostagno, 2022). According to several hypotheses, abnormalities and dysfunctions in vascular structure, mitochondrial metabolism, oxidative stress, glucose utilization, and neuroinflammation are considered fundamental for AD pathology (Scheltens et al., 2016).

具有双相障碍样特征的散发性阿尔茨海默病:病例报告及当前研究现状简述

孔令卓1, 杨燕1, 周韦华1, 胡少华1,2,3,4,5,6,7
1浙江大学医学院附属第一医院精神卫生科, 中国杭州, 310003
2南湖脑机接口研究所, 中国杭州, 310003
3浙江省精准精神医学重点实验室, 中国杭州, 310003
4浙江大学医学院教育部脑与脑机融合前沿科学中心, 中国杭州, 310003
5浙江大学脑研究所, 中国杭州, 310003
6浙江大学心理学与行为科学系, 中国杭州, 310003
7数理心理健康浙江省工程研究中心, 中国杭州, 310003
摘要:近年来,关于阿尔茨海默病(AD)的机制研究不断取得新进展,其与其他神经精神疾病之间共享的病理生理机制也逐渐明晰。然而,对于在疾病早期阶段表现出非典型症状(如情绪调节障碍)的AD患者,临床实践中难以将其与其他神经退行性疾病或情感障碍进行有效鉴别。本研究报告一例75岁女性患者,她出现了进行性记忆衰退及类似情感障碍的情绪与行为表现状态的反复波动。经多次检查和治疗尝试后,最终确诊为早期AD,且在治疗后病情趋于稳定。本个案报道旨在进一步揭示AD和情感障碍之间共同的病理生理机制,以提醒医疗卫生工作人员应关注早期AD以情绪异常为主要表现的非典型症状,并展望未来治疗策略的发展方向。

关键词:阿尔茨海默病;额颞叶痴呆;情感障碍;诊断;治疗;个案报道

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article

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Full Text:   <2295>

Summary:  <127>

CLC number: 

On-line Access: 2026-04-24

Received: 2025-06-07

Revision Accepted: 2025-06-09

Crosschecked: 2026-04-24

Cited: 0

Clicked: 1948

Citations:  Bibtex RefMan EndNote GB/T7714

 ORCID:

Shaohua HU

https://orcid.org/0000-0003-0570-670X

Lingzhuo KONG

https://orcid.org/0009-0000-1635-5963

Yan YANG

https://orcid.org/0009-0002-5476-9651

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