Jørgensen Anders, Jørgensen Martin Balslev
Psykiatrisk Center, Rigshospitalet, DK-2100 København Ø.
Ugeskr Laeger. 2009 Aug 31;171(36):2572-3.
Catatonia is seen in various psychiatric disorders, but also rarely occurs in medical conditions with organic cerebral affection. We present a case of a previously mentally healthy male, who developed catatonia years after a stroke in the right hemisphere. Catatonic symptoms included stupor, mutism, stereotyped movements and repetition of meaningless sounds. The condition responded to benzodiazepine and electroconvulsive therapy. Catatonia should be considered as a differential diagnosis when the described symptoms occur in patients with a known organic cerebral disorder.
紧张症可见于多种精神障碍,但在伴有器质性脑病变的躯体疾病中也很少见。我们报告一例既往精神健康的男性病例,该患者在右侧半球中风数年之后出现了紧张症。紧张症症状包括木僵、缄默、刻板动作以及重复无意义的声音。该病症对苯二氮䓬类药物和电休克治疗有效。当已知患有器质性脑疾病的患者出现上述症状时,应将紧张症视为鉴别诊断之一。