Majumder Uttam, Layek Avik K
Department of Psychiatry, North Bengal Medical College, Sushrutanagar, Darjeeling, West Bengal, India.
Ind Psychiatry J. 2022 Jan-Jun;31(1):165-167. doi: 10.4103/ipj.ipj_265_21. Epub 2022 May 20.
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.
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。