当患者认为器官已被毁坏时：科塔尔综合征的表现。
When the Patient Believes That the Organs Are Destroyed: Manifestation of Cotard's Syndrome.
作者信息
Machado Leonardo, Filho Luiz Evandro de Lima, Machado Liliane
机构信息
Neuropsychiatry Department and Postgraduation in Neuropsychiatry and Behavior Sciences Program, The Federal University of Pernambuco, 50670-901 Recife, PE, Brazil.
Psychology Department, The ESUDA College, 50050-100 Recife, PE, Brazil.
出版信息
Case Rep Med. 2016;2016:5101357. doi: 10.1155/2016/5101357. Epub 2016 Nov 28.
Cotard's Syndrome (CS) is a rare clinical event described for the first time in 1880 by the neurologist and psychiatrist Jules Cotard and characterized by negation delusions (or nihilists). Immortality and hypochondriac delusions are also typical. Nowadays, it is known that CS can be associated with many neuropsychiatric conditions. In this article, we describe the case of a patient that believed not having more organs and having the body deformed and whose CS was associated with a bigger depressive disorder. Although the electroconvulsive therapy is the most described treatment modality in the literature, the reported case had therapeutic success with association of imipramine and risperidone.
科塔尔综合征（CS）是一种罕见的临床病症，于1880年由神经学家兼精神科医生朱尔斯·科塔尔首次描述，其特征为否定妄想（或虚无妄想）。不朽妄想和疑病妄想也较为典型。如今，已知CS可与多种神经精神疾病相关。在本文中，我们描述了一名患者的病例，该患者认为自己没有更多器官且身体变形，其科塔尔综合征与更严重的抑郁症相关。尽管电休克疗法是文献中描述最多的治疗方式，但该报告病例使用丙咪嗪和利培酮联合治疗取得了成功。
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