Mamaeva Tatiana, Christensen Ditte Sigaard, Nielsen Connie Thurøe
Ugeskr Laeger. 2016 Dec 19;178(51).
Cotard's syndrome is a rare psychiatric disorder characterized by nihilistic delusions in which the patient is convinced that death has occurred or the internal organs have perished. The treatment of Cotard's syndrome requires monotherapy or combination therapy with antidepressants, antipsychotics, mood-stabilizing drugs or electroconvulsive treatment (ECT). We describe a woman with severe depression and Cotard's syndrome who responded well to ECT. This case is not only an example of a patient with Cotard's syndrome, but also an example of how quickly and severely a delirium can develop.
科塔尔综合征是一种罕见的精神障碍，其特征为虚无妄想，患者坚信自己已经死亡或内脏已经不复存在。科塔尔综合征的治疗需要使用抗抑郁药、抗精神病药、心境稳定剂进行单一疗法或联合疗法，或者采用电休克治疗（ECT）。我们描述了一名患有重度抑郁症和科塔尔综合征的女性，她对ECT反应良好。这个病例不仅是科塔尔综合征患者的一个例子，也是谵妄发展得多么迅速和严重的一个例子。
