Penland Heath R, Weder Natalie, Tampi Rajesh R
Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
Ann Gen Psychiatry. 2006 Sep 7;5:14. doi: 10.1186/1744-859X-5-14.
Catatonia is a common syndrome that was first described in the literature by Karl Kahlbaum in 1874. The literature is still developing and remains unclear on many issues, especially classification, diagnosis, and pathophysiology. Clinicians caring for psychiatric patients with catatonic syndromes continue to face many dilemmas in diagnosis and treatment. We discuss many of the common problems encountered in the care of a catatonic patient, and discuss each problem with a review of the literature. Focus is on practical aspects of classification, epidemiology, differential diagnosis, treatment, medical comorbidity, cognition, emotion, prognosis, and areas for future research in catatonic syndromes.
紧张症是一种常见综合征，1874年卡尔·卡尔鲍姆首次在文献中对其进行描述。相关文献仍在不断发展，许多问题仍不明确，尤其是分类、诊断和病理生理学方面。照料患有紧张症综合征的精神科患者的临床医生在诊断和治疗中仍面临许多困境。我们讨论了照料紧张症患者时遇到的许多常见问题，并结合文献综述对每个问题进行了探讨。重点关注紧张症综合征在分类、流行病学、鉴别诊断、治疗、合并躯体疾病、认知、情感、预后以及未来研究领域等方面的实际问题。
