Baker Ian W S, Jackson Matthew, Bass Christopher
Russell Cairns Unit, Radcliffe Infirmary, Oxford, OX2 6HE, England.
Cogn Behav Neurol. 2005 Sep;18(3):141-3. doi: 10.1097/01.wnn.0000178230.46691.c7.
We describe a case of psychogenic malignant catatonia resulting in permanent cognitive impairment.
Catatonia is a neuropsychiatric syndrome characterized by catalepsy, negativism, mutism, muscular rigidity, and mannerisms, often accompanied by autonomic instability and fever. Little is known about the long-term cognitive consequences of the syndrome.
Medical history includes neurologic examination, neuropsychological evaluation, electroencephalographic data, magnetic resonance imaging, sodium amytal interview, and treatment with electroconvulsive therapy.
Selective deficits in executive function and an anterograde amnesia were evident a week post-ECT treatment and continued to be present at follow-up after 2 years and 8 months.
The permanent cognitive impairments are considered in the context of catatonia as a frontal lobe syndrome.
我们描述了一例导致永久性认知障碍的精神性恶性紧张症病例。
紧张症是一种神经精神综合征，其特征为僵住症、违拗症、缄默症、肌肉僵硬和特殊姿势，常伴有自主神经功能不稳定和发热。关于该综合征的长期认知后果知之甚少。
病史包括神经系统检查、神经心理学评估、脑电图数据、磁共振成像、戊巴比妥钠试验以及电休克治疗。
电休克治疗后一周，执行功能和顺行性遗忘存在选择性缺陷，在2年8个月的随访中仍持续存在。
在紧张症的背景下，永久性认知障碍被视为一种额叶综合征。
