Kumar Vijaya, Bagewadi Virupakshappa, Sagar Dayanand, Varambally Shivarama
Department of Psychiatry, Vydehi Institute of Medical Sciences and Research Center, Bengaluru, Karnataka, India.
Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Indian J Psychol Med. 2017 Jan-Feb;39(1):86-88. doi: 10.4103/0253-7176.198955.
A cluster of symptoms including hallucinations characterizes schizophrenia. Hallucinations that occur in more than one modality simultaneously and emanate from a single source are called multimodal hallucinations (MMHs). The occurrence of simultaneous hallucinations as the major manifestations of a psychiatric disorder often was dismissed as factitious disorder or malingering. Conversely, MMHs have been reported in severe mental disorders including schizophrenia. Here, we report MMH in two patients of treatment-resistant schizophrenia and its successful management with clozapine. The significance of MMH on the course, prognosis, and treatment resistance of schizophrenia needs to be elucidated. Further systematic research is needed to address these issues.
包括幻觉在内的一系列症状是精神分裂症的特征。同时出现在不止一种感觉模态中且源于单一来源的幻觉被称为多模态幻觉（MMHs）。同时出现幻觉作为一种精神障碍的主要表现，常常被认为是做作性障碍或诈病。相反，在包括精神分裂症在内的严重精神障碍中已有多模态幻觉的报道。在此，我们报告两例难治性精神分裂症患者出现多模态幻觉以及使用氯氮平成功治疗的情况。多模态幻觉对精神分裂症的病程、预后及治疗抵抗性的意义尚需阐明。需要进一步进行系统研究来解决这些问题。
