Van Dalfsen A N, Van Den Eede F, Van Den Bossche B, Sabbe B G C
Universitair Ziekenhuis Antwerpen.
Tijdschr Psychiatr. 2006;48(3):235-9.
A patient who developed acute catatonia during benzodiazepine withdrawal is discussed. The case prompted us to review the literature on the role of benzodiazepines in the treatment of acute catatonia. Only retrospective and open studies were found which indicate that benzodiazepines do have a beneficial effect. Lorazepam is the most widely studied benzodiazepine and at present is the best treatment option. In the specific case of acute catatonia brought on by benzodiazepine withdrawal the recommended dosage is the same as for acute catatonia caused by something other than benzodiazepine withdrawal.
本文讨论了一名在苯二氮䓬类药物戒断期间出现急性紧张症的患者。该病例促使我们回顾了关于苯二氮䓬类药物在急性紧张症治疗中作用的文献。仅发现了回顾性研究和开放性研究,这些研究表明苯二氮䓬类药物确实具有有益作用。劳拉西泮是研究最广泛的苯二氮䓬类药物,目前是最佳治疗选择。在苯二氮䓬类药物戒断引起的急性紧张症的特定病例中,推荐剂量与由苯二氮䓬类药物戒断以外的其他原因引起的急性紧张症相同。