Joshi Sulochana, Shakya Rabi
Department of Psychiatry, Patan Academy of Health Sciences, Lalitpur, Nepal.
Case Rep Psychiatry. 2017;2017:9421973. doi: 10.1155/2017/9421973. Epub 2017 Oct 17.
Functional hallucinations are hallucinations triggered by a stimulus in the same modality and cooccur with it. They are rare in occurrence; however, their rarity has no significance as psychopathology till date. Also, very little is known about the treatment of such hallucinations. Electroconvulsive therapy (ECT) has been tested for several psychiatric illnesses and has a few relative contraindications; however, it has not previously been used in treating functional hallucinations. We report on a female patient with paranoid schizophrenia who experienced functional hallucinations continuously despite the use of adequate risperidone, which controlled other symptoms. She was treated with ECT which resolved the functional hallucinations. The case highlights the need to ponder on the significance of the phenomenon as well as treatment of this psychopathology by ECT. It also underscores ECT as a treatment option for this kind of hallucination.
功能性幻觉是由同一感觉通道中的刺激引发并与之同时出现的幻觉。它们的发生率很低;然而,迄今为止,其罕见性作为精神病理学表现并无重要意义。此外,对于此类幻觉的治疗知之甚少。电休克疗法(ECT)已针对多种精神疾病进行了测试,并有一些相对禁忌证;然而,此前它尚未用于治疗功能性幻觉。我们报告了一名患有偏执型精神分裂症的女性患者,尽管使用了足量的利培酮控制了其他症状,但她仍持续出现功能性幻觉。她接受了ECT治疗,功能性幻觉得以消除。该病例凸显了思考这一现象的重要性以及通过ECT治疗这种精神病理学表现的必要性。它还强调了ECT作为此类幻觉的一种治疗选择。