Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India.
J ECT. 2012 Sep;28(3):e27-8. doi: 10.1097/YCT.0b013e31824e9228.
Catatonia is a common presentation to psychiatric services in developing countries. Medical causes of catatonia are common and are difficult to treat. A 20-year-old woman presented with an acute illness consisting of fever, delirium, perceptual abnormalities, and catatonic state. After trials with antiviral medications, benzodiazepines, and atypical antipsychotic medications, she was treated with 6 sessions of electroconvulsive therapy with complete recovery and no complications. Catatonia arising in the background of organic pathology can be treated on similar lines as in other psychiatric disorders. Electroconvulsive therapy can be a safe option that needs consideration in such cases after ruling out the contraindications.
紧张症是发展中国家精神科服务中常见的表现。紧张症的医学病因很常见，且难以治疗。一位 20 岁的女性出现了急性疾病，表现为发热、意识障碍、知觉异常和紧张症状态。在尝试了抗病毒药物、苯二氮䓬类药物和非典型抗精神病药物治疗后，她接受了 6 次电惊厥治疗，完全康复，没有出现并发症。在器质性病理背景下出现的紧张症可以按照其他精神障碍的治疗方法进行治疗。电惊厥治疗在排除禁忌证后，在这种情况下可以作为一种安全的选择。
