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紧张症的成功治疗:一例报告及治疗综述

Successful Treatment of Catatonia: A Case Report and Review of Treatment.

作者信息

Malone Kevin, Saveen Sall, Stevens Christopher M, McNeil Shawn

机构信息

Biomedical Engineering, Louisiana State University Health Sciences Center, Shreveport, USA.

Psychiatry, Louisiana State University Health Sciences Center, Shreveport, USA.

出版信息

Cureus. 2022 Jun 25;14(6):e26328. doi: 10.7759/cureus.26328. eCollection 2022 Jun.

Abstract

Herein, we report the case of a 20-year-old Caucasian male with a previous psychiatric history of schizophreniform, autism, unspecified intellectual disorder, and past medical history of hypertension, who presented after a suicidal attempt. One month prior to admission for the suicidal attempt, the patient had mutism. While admitted, the patient showed signs of mutism, posturing, negativism, and waxy flexibility. Treatment with both aripiprazole and lorazepam was effective and reversed the patient's catatonia after low-dose titration. This case highlights the importance of reviewing patient history and presenting symptoms in the management of catatonia. Additionally, this case provides an opportunity to review the diagnostic approach and treatment type used for patients presenting with catatonia.

摘要

在此,我们报告一例20岁的白种男性病例,该患者既往有精神分裂症样、自闭症、未特定的智力障碍等精神病史,以及高血压病史,此次因自杀未遂前来就诊。在自杀未遂入院前一个月,患者出现缄默症。入院时,患者表现出缄默、姿势异常、违拗和蜡样屈曲等症状。使用阿立哌唑和劳拉西泮治疗有效,经低剂量滴定后逆转了患者的紧张症。该病例突出了在紧张症管理中回顾患者病史和当前症状的重要性。此外,该病例为回顾针对出现紧张症的患者所采用的诊断方法和治疗类型提供了契机。

相似文献

本文引用的文献

1
Catatonia in older adults: A systematic review.老年人的紧张症:一项系统综述。
World J Psychiatry. 2022 Feb 19;12(2):348-367. doi: 10.5498/wjp.v12.i2.348.
3
Prevalence and characteristics of catatonia on admission to an acute geriatric psychiatry ward.急性老年精神病科病房入院时紧张症的患病率及特征
Prog Neuropsychopharmacol Biol Psychiatry. 2017 Aug 1;78:27-33. doi: 10.1016/j.pnpbp.2017.05.013. Epub 2017 May 19.
5
Catatonia in Children Following Systemic Illness.全身性疾病后儿童的紧张症
Indian J Psychol Med. 2015 Oct-Dec;37(4):413-8. doi: 10.4103/0253-7176.168582.
6
The Syndrome of Catatonia.紧张症综合征
Behav Sci (Basel). 2015 Dec 9;5(4):576-88. doi: 10.3390/bs5040576.
7
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.
10
Measuring catatonia: a systematic review of rating scales.测评紧张症:评定量表的系统综述。
J Affect Disord. 2011 Dec;135(1-3):1-9. doi: 10.1016/j.jad.2011.02.012. Epub 2011 Mar 21.

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