深部脑刺激术后出现紧张症，经劳拉西泮和右侧单侧电休克治疗成功：一例报告
Catatonia after deep brain stimulation successfully treated with lorazepam and right unilateral electroconvulsive therapy: a case report.
作者信息
Quinn Davin K, Rees Caleb, Brodsky Aaron, Deligtisch Amanda, Evans Daniel, Khafaja Mohamad, Abbott Christopher C
机构信息
From the *Department of Psychiatry, University of New Mexico Health Sciences Center, †University of New Mexico School of Medicine, and ‡Department of Neurology, University of New Mexico Health Sciences Center, Albuquerque, NM.
出版信息
J ECT. 2014 Sep;30(3):e13-5. doi: 10.1097/YCT.0b013e31829e0afa.
OBJECTIVES
The presence of a deep brain stimulator (DBS) in a patient who develops neuropsychiatric symptoms poses unique diagnostic challenges and questions for the treating psychiatrist. Catatonia has been described only once, during DBS implantation, but has not been reported in a successfully implanted DBS patient.
METHODS
We present a case of a patient with bipolar disorder and renal transplant who developed catatonia after DBS for essential tremor.
RESULTS
The patient was successfully treated for catatonia with lorazepam and electroconvulsive therapy after careful diagnostic workup. Electroconvulsive therapy has been successfully used with DBS in a handful of cases, and certain precautions may help reduce potential risk.
CONCLUSIONS
Catatonia is a rare occurrence after DBS but when present may be safely treated with standard therapies such as lorazepam and electroconvulsive therapy.
目的
对于出现神经精神症状的患者，其体内存在深部脑刺激器（DBS）给主治精神科医生带来了独特的诊断挑战和问题。紧张症仅在DBS植入过程中被描述过一次，但在成功植入DBS的患者中尚未有报道。
方法
我们报告一例双相情感障碍且接受过肾移植的患者，在因特发性震颤接受DBS治疗后出现紧张症。
结果
经过仔细的诊断检查，该患者使用劳拉西泮和电休克治疗成功治愈了紧张症。电休克治疗已在少数病例中与DBS联合成功使用，采取某些预防措施可能有助于降低潜在风险。
结论
紧张症在DBS术后较为罕见，但一旦出现，可使用劳拉西泮和电休克治疗等标准疗法进行安全治疗。
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