Bozkurt Hasan, Mukaddes Nahit Motavalli
Department of Child and Adolescent Psychiatry, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey.
Turk J Pediatr. 2010 Jul-Aug;52(4):435-8.
Catatonia is a cluster of motor features that appears in many recognized psychiatric illnesses. It is being increasingly reported in individuals with autism, a disorder characterized by impaired reciprocal social interactions, aberrant language development and restricted behavioral repertoire. However, relatively little is known about the presentation and treatment of catatonia in children with autism. We describe herein an 11-year-old pediatric case with autism who developed catatonic symptoms and was treated effectively with lorazepam. The case reported here differs from previously reported cases in terms of age of onset and the display of all characteristics of catatonia as defined in the Diagnostic and Statistical Manual of Mental Disorders (4th ed) (DSM-IV). In addition, although it was stated that catatonia in autism is commonly associated with impaired language and social passivity, our case is an active verbal individual.
紧张症是一组运动特征，出现在许多公认的精神疾病中。越来越多的自闭症患者被报道出现紧张症，自闭症是一种以社交互动受损、语言发育异常和行为模式受限为特征的疾病。然而，对于自闭症儿童紧张症的表现和治疗知之甚少。我们在此描述一例11岁患有自闭症的儿科病例，该患儿出现了紧张症症状，并通过劳拉西泮得到有效治疗。本病例报告在发病年龄以及《精神疾病诊断与统计手册》（第4版）（DSM-IV）所定义的紧张症所有特征的表现方面与先前报道的病例不同。此外，尽管有人指出自闭症中的紧张症通常与语言受损和社交被动有关，但我们的病例是一个能积极表达语言的个体。
