Llesuy Joan Roig, Coffey M Justin, Jacobson Kristen C, Cooper Joseph J
From the Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago (JRL, KCJ, JJC); and the Menninger Clinic, Houston, TX (MJC).
J Neuropsychiatry Clin Neurosci. 2017 Spring;29(2):148-154. doi: 10.1176/appi.neuropsych.15090230. Epub 2016 Nov 30.
Although commonly linked to psychiatric disorders, catatonia is frequently identified secondary to neurological and general medical conditions (GMCs). The present study aimed to characterize the diagnostic workup of cases of catatonia in a general hospital setting. The authors performed a retrospective chart review of 54 cases of catatonia, over 3 years. Clinical suspicion of comorbid delirium was the strongest predictor of a more thorough general medical workup. Attribution of catatonia to a psychiatric etiology was associated with significantly less diagnostic workup. Prospective studies should help clarify the relationship between catatonia and delirium and standardize the diagnostic approach to patients presenting with catatonia.
虽然紧张症通常与精神疾病有关，但它常常继发于神经疾病和普通内科疾病（GMCs）。本研究旨在描述综合医院环境中紧张症病例的诊断检查特征。作者对54例紧张症病例进行了为期3年的回顾性病历审查。临床怀疑合并谵妄是进行更全面普通内科检查的最强预测因素。将紧张症归因于精神病因与诊断检查显著减少有关。前瞻性研究应有助于阐明紧张症与谵妄之间的关系，并规范对出现紧张症患者的诊断方法。
