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苯二氮䓬戒断性紧张症:来自印度东部一家三级医疗中心的两例病例

Benzodiazepine withdrawal catatonia: Two cases from a tertiary care center in Eastern India.

作者信息

Majumder Uttam, Layek Avik K

机构信息

Department of Psychiatry, North Bengal Medical College, Sushrutanagar, Darjeeling, West Bengal, India.

出版信息

Ind Psychiatry J. 2022 Jan-Jun;31(1):165-167. doi: 10.4103/ipj.ipj_265_21. Epub 2022 May 20.

Abstract

Catatonia is a diagnostic entity of a neuropsychiatric cluster of symptoms that can occur in a number of different psychiatric, neurologic, and metabolic disorders. Benzodiazepines remain the mainstay of the treatment of catatonia through their possible effect on the gamma-aminobutyric acid (GABA) receptor modulation in the central nervous system (CNS). Rarely, patients have been seen to manifest catatonic symptoms when they face sudden withdrawal from long-term benzodiazepine treatment. Here, we have presented two such cases of different clinical profiles where following benzodiazepine withdrawal, sudden catatonic symptoms emerged that responded quickly on re-administration of benzodiazepines.

摘要

紧张症是一组神经精神症状的诊断实体,可发生于多种不同的精神、神经和代谢紊乱疾病中。苯二氮䓬类药物仍然是紧张症治疗的主要药物,其可能通过对中枢神经系统(CNS)中γ-氨基丁酸(GABA)受体的调节作用来发挥疗效。极少情况下,患者在长期苯二氮䓬类药物治疗突然停药时会出现紧张症症状。在此,我们报告了两例不同临床特征的此类病例,在停用苯二氮䓬类药物后,突然出现紧张症症状,再次使用苯二氮䓬类药物后症状迅速缓解。

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本文引用的文献

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A clinical review of the treatment of catatonia.关于紧张症治疗的临床综述。
Front Psychiatry. 2014 Dec 9;5:181. doi: 10.3389/fpsyt.2014.00181. eCollection 2014.
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Lorazepam withdrawal catatonia: a case report.劳拉西泮戒断性紧张症:一例报告。
Asian J Psychiatr. 2013 Dec;6(6):620-1. doi: 10.1016/j.ajp.2013.05.008. Epub 2013 Jun 12.

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