Aneja Jitender, Jangli Satyarth, Kulhara Parmanand, Bathla Manish
Department of Psychiatry, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Department of Psychiatry, Maharishi Markandeshwar Institute of Medical Sciences and Research, Ambala, Haryana, India.
Ind Psychiatry J. 2017 Jul-Dec;26(2):239-242. doi: 10.4103/ipj.ipj_46_15.
Suicide is an important cause of death worldwide, and India is not immune to this major health problem. Suicide by hanging is one of the lethal methods widely practiced. However, literature is very sparse as well as old in the context of neuropsychiatric consequences seen in those who survive such attempts. We present a case of a young boy who survived an attempted hanging and was left with neuropsychiatric sequelae in the form of retro/anterograde amnesia, aggression, lability of affect, and impaired memory and visuomotor deficits. The associated diagnostic dilemmas, namely whether to diagnose such patients with Korsakoff's psychosis, organic amnesic syndrome, or major neurocognitive syndrome, are discussed and a brief review of literature of this largely ignored area is also presented.
自杀是全球范围内一个重要的死亡原因,印度也未能幸免这一重大健康问题。上吊自杀是广泛实施的致命方法之一。然而,关于此类自杀未遂幸存者所出现的神经精神后果,相关文献非常稀少且陈旧。我们报告一例年轻男孩,他上吊自杀未遂后存活下来,但遗留有逆行性/顺行性遗忘、攻击性、情感不稳定、记忆力受损以及视觉运动功能障碍等神经精神后遗症。文中讨论了相关的诊断困境,即是否将此类患者诊断为柯萨科夫精神病、器质性遗忘综合征或重度神经认知综合征,并且还对这一很大程度上被忽视领域的文献进行了简要综述。