Kocmur Marga, Vodopivec Zoran
University Psychiatric Hospital, Ljubljana, Slovenia.
Neuro Endocrinol Lett. 2006 Feb-Apr;27(1-2):260-2.
We describe a patient who was ill for more than 15 years. She was treated predominantly as a neurological case because of multiple motor signs. The diagnosis of catatonia was considered at the time when she was hospitalized in a psychiatric hospital after a suicidal attempt. The "therapeutic blindness", which was obviously present during 15 years of her illness, is discussed: the ICD--10 is perhaps misleading regarding this diagnosis while it associates it too tightly only to schizophrenia.
我们描述了一位患病超过15年的患者。由于存在多种运动体征,她主要被当作神经科病例进行治疗。在她因自杀未遂而入住精神病院时,曾考虑过紧张症的诊断。文中讨论了在她患病的15年期间明显存在的“治疗盲区”:国际疾病分类第十版(ICD - 10)在该诊断方面可能具有误导性,因为它仅将紧张症与精神分裂症紧密关联。