Department of Psychiatry, Singapore General Hospital, Singapore, Singapore.
J ECT. 2010 Jun;26(2):143-4. doi: 10.1097/yct.0b013e3181c1881f.
Neuropsychiatric systemic lupus erythematosus encompasses neurological syndromes of the central, peripheral, and autonomic nervous system and a variety of psychiatric syndromes. Neuropsychiatric systemic lupus erythematosus presenting as catatonia is uncommon, and treatment of this condition is not well defined. Here we describe a case of neuropsychiatric systemic lupus erythematosus with catatonia and our treatment approach focusing on electroconvulsive therapy in conjunction with cyclophosphamide. We also discuss the pathophysiological underpinnings of the condition and the basis for treatment.
神经精神性系统性红斑狼疮包括中枢神经系统、周围神经系统和自主神经系统的神经综合征以及各种精神综合征。以紧张症为表现的神经精神性系统性红斑狼疮并不常见，其治疗方法也尚未明确。本文描述了 1 例以紧张症为表现的神经精神性系统性红斑狼疮，并介绍了以电休克治疗联合环磷酰胺为重点的治疗方法。此外，本文还讨论了该病的病理生理学基础和治疗依据。
