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《扭曲的心灵》——一名青少年的精神源性肌张力障碍,对抗抑郁治疗有反应

"The Twisted Mind" - Psychogenic Dystonia in An Adolescent, Responding to Antidepressant Therapy.

作者信息

Chatterjee Seshadri Sekhar, DAS Soumitra, Gupta Sukanya, Bhattacharya Sanhita

机构信息

Medical College, Kolkata, West Bengal, India.

NIMHANS, Bangalore, India.

出版信息

Shanghai Arch Psychiatry. 2018 Apr 25;30(2):133-134. doi: 10.11919/j.issn.1002-0829.217114.

Abstract

Psychogenic dystonia is one of the most common problems encountered in movement disorder patients and accounted mostly for misdiagnosis, management confusion and treatment resistance. Psychiatric morbidities often are the culprit, hence proper psychiatric history taking is of utmost importance. Here we report one case where dystonia was the main presenting complaint of an underlying depressive episode and discuss how managing the cause alleviated the symptoms.

摘要

精神源性肌张力障碍是运动障碍患者中最常见的问题之一,主要导致误诊、管理混乱和治疗抵抗。精神疾病往往是罪魁祸首,因此详细了解精神病史至关重要。在此,我们报告一例以肌张力障碍为潜在抑郁发作主要表现的病例,并讨论如何通过治疗病因来缓解症状。

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