Grover Sandeep, Dutt Alakananda, Chakrabarty Kaustav, Kumar Vineet
Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Ind Psychiatry J. 2012 Jan;21(1):69-71. doi: 10.4103/0972-6748.110957.
Non-catatonic mutism in schizophrenia has been described less frequently in literature. We describe the case of a young male who presented with non-catatonic mutism, secondary to first rank symptoms, which was refractory to adequate antipsychotic trials (quetiapine, risperidone, aripiprazole, ziprasidone, and trifluperazine) and responded to a combination of electroconvulsive therapy (ECT) and neuroleptics partially. However, when the ECT was continued in the continuation phase, the patient started speaking.
精神分裂症中的非紧张性缄默在文献中的描述较少。我们描述了一例年轻男性患者,其出现继发于一级症状的非紧张性缄默,对充分的抗精神病药物试验(喹硫平、利培酮、阿立哌唑、齐拉西酮和三氟拉嗪)无效,对电休克治疗(ECT)和抗精神病药物的联合治疗有部分反应。然而,在维持期继续进行ECT治疗时,患者开始说话。