Basu Aniruddha, Singh Priti, Gupta Rajiv, Kundu Savita
Dr. Basu is Senior Resident, Department of Psychiatry, Pt.B.D. Sharma PGIMS, Rohtak, Haryana, India; Dr. Singh is Professor, Department of Psychiatry, Pt.B.D. Sharma PGIMS Rohtak, Haryana, India; Dr. Gupta is Senior Professor and Head, Department of Psychiatry, Pt.B.D.Sharma Rohtak, Haryana, India; and Dr. Kundu is Junior Resident, Department of Psychiatry, Pt.B.D.Sharma PGIMS Rohtak, Haryana, India.
Innov Clin Neurosci. 2013 Jul;10(7-8):10-2.
We report a rare case of paranoid schizophrenia presenting with continuous mutism for about three years. This 26-year-old woman with multiple Schneiderian first-rank symptoms ['Schneiderian' refers to those symptoms established by the German psychiatrist Kurt Schneider for the diagnosis of schizophrenia] did not have any catatonic features, and she would fluently communicate by gesturing or writing. Since there was serious impairment in biological functions not readily correctable by antipsychotics, she was started on electroconvulsive therapy. She responded well to 14 sessions of electroconvulsive therapy along with oral haloperidol. We also discuss the cultural implications of prolonged mutism. To the best of our knowledge, this is the first case of mutism in noncatatonic paranoid schizophrenia that responded well to electroconvulsive therapy described in the literature.
我们报告一例罕见的偏执型精神分裂症病例，患者持续缄默约三年。这位26岁的女性具有多种施奈德一级症状（“施奈德”指德国精神病学家库尔特·施奈德确立的用于精神分裂症诊断的那些症状），没有任何紧张症特征，她会通过手势或书写流畅地交流。由于存在生物功能严重受损且抗精神病药物难以纠正的情况，她开始接受电休克治疗。她对14次电休克治疗以及口服氟哌啶醇反应良好。我们还讨论了长期缄默的文化影响。据我们所知，这是文献中描述的首例非紧张症性偏执型精神分裂症缄默且对电休克治疗反应良好的病例。
