Obregon Demian F, Velasco Regina M, Wuerz Timothy P, Catalano Maria C, Catalano Glenn, Kahn David
University of South Florida Depart ment of Psychiatry and Neurosciences, Tampa, FL, USA.
J Psychiatr Pract. 2011 Jul;17(4):292-9. doi: 10.1097/01.pra.0000400268.60537.5e.
Catatonia is a movement disorder with various possible etiologies. The majority of cases are associated with an underlying mood or psychotic disorder, while others are caused by medical conditions. Currently, benzodiazepines are the first-line psychopharmacologic agents in the treatment of catatonia. However, several cases have been reported in which treatment with memantine proved to be effective. We present the case of a 92-year-old female with major depressive disorder and associated catatonic symptoms. In this case, the patient's symptoms remitted quickly after the initiation of memantine. We review the possible causes of catatonia and pharmacologic treatments for the condition and highlight the possible benefits of N-methylD-aspartic acid receptor antagonists such as memantine in the treatment of catatonia.
紧张症是一种具有多种可能病因的运动障碍。大多数病例与潜在的情绪或精神障碍有关,而其他病例则由躯体疾病引起。目前,苯二氮䓬类药物是治疗紧张症的一线精神药物。然而,已有数例报告显示美金刚治疗有效。我们报告一例92岁患有重度抑郁症并伴有紧张症症状的女性病例。在此病例中,患者在开始使用美金刚后症状迅速缓解。我们回顾了紧张症的可能病因和该病症的药物治疗方法,并强调了N-甲基-D-天冬氨酸受体拮抗剂(如美金刚)在治疗紧张症方面可能带来的益处。