Kar Nilamadhab, Venkata Narasimha Prasad Bhathala
Wolverhampton City PCT, Psychiatry, Corner House Resource Centre, 300 Dunstall Road, Wolverhampton WV6 0NZ, UK.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.05.2009.1916. Epub 2009 Oct 12.
Catatonic syndrome is observable in various psychiatric and physical disorders. In the diagnostic systems for psychiatric disorders, catatonia gets subsumed under various psychiatric disorders, without any specific diagnostic category of its own. However, there are occasions where it may be difficult to categorise catatonia as a part of another disorder. We describe catatonia episodes in a patient with diagnostic uncertainties, and variations regarding symptom resolution with and without medication. There was inadequate response to lorazepam, whereas antipsychotic medications seemed effective for resolution and also as maintenance treatment. Diagnostic issues with catatonia are discussed.
紧张症综合征可见于多种精神和躯体疾病中。在精神疾病的诊断系统中，紧张症被归入各种精神疾病之下，没有其自身特定的诊断类别。然而，有时可能难以将紧张症归类为另一种疾病的一部分。我们描述了一名诊断存在不确定性的患者的紧张症发作情况，以及使用和不使用药物时症状缓解的差异。氯硝西泮治疗反应欠佳，而抗精神病药物似乎对缓解有效且可作为维持治疗。文中还讨论了紧张症的诊断问题。
