Philbin Deirdre, Mulryan D, O'Grady M
St Brigid's Hospital, Co Galway, Ireland.
BMJ Case Rep. 2013 Jul 29;2013:bcr2013009153. doi: 10.1136/bcr-2013-009153.
A 36-year-old man with known schizophrenia, presented with increasingly bizarre behaviour. The development of catatonia and subsequent neuroleptic malignant syndrome in itself posed numerous therapeutic challenges. However, following resolution of neuroleptic malignant syndrome, the reintroduction of antipsychotics was not tolerated. This case report proposes a novel use for electroconvulsive therapy as a treatment of mental state, following resolution of neuroleptic malignant syndrome, to facilitate successful reintroduction of antipsychotics.
一名36岁的已知患有精神分裂症的男子，出现了越来越怪异的行为。紧张症的发展以及随后出现的抗精神病药物恶性综合征本身带来了诸多治疗挑战。然而，在抗精神病药物恶性综合征缓解后，重新使用抗精神病药物却不被耐受。本病例报告提出了电休克治疗的一种新用途，即在抗精神病药物恶性综合征缓解后，作为一种治疗精神状态的方法，以促进成功重新使用抗精神病药物。
