Vasudev Kamini, Grunze Heinz
Department of Rehabilitation Psychiatry, NTW Trust, Morpeth, UK.
BMJ Case Rep. 2010 Jul 15;2010:bcr0220102713. doi: 10.1136/bcr.02.2010.2713.
Delirious mania is an under recognised clinical syndrome and little evidence is available to clarify its clinical characteristics and treatment. We analyse a case of delirious mania that was a challenge to treat. It shows the importance of recognising catatonia as a symptom of delirious mania. Electroconvulsive therapy (ECT) and mood stabilisers (lithium and valproate combination) proved to be effective treatments in our case, but a variety of factors contributed to a delay in treatment response.
谵妄性躁狂是一种未得到充分认识的临床综合征，几乎没有证据可用于阐明其临床特征和治疗方法。我们分析了一例治疗颇具挑战性的谵妄性躁狂病例。该病例显示了将紧张症识别为谵妄性躁狂症状的重要性。在我们的病例中，电休克治疗（ECT）和心境稳定剂（锂盐和丙戊酸盐联合使用）被证明是有效的治疗方法，但多种因素导致治疗反应延迟。
