Dikaia V I
Zh Nevropatol Psikhiatr Im S S Korsakova. 1986;86(9):1393-9.
A clinical follow-up study of 57 schizophrenic patients revealed heterogeneity of the clinical role of acute Kandinsky-Clerambault syndrome in the picture of the disease. The author describes the syndrome of psychic automatism in the framework of "schizophrenic reactions" in the time-course of latent schizophrenia, in the picture of the attack in shift-like and recurrent course and in the structure of the shift resembling clinically the exacerbation of the continuously progressive process. The author also shows the correlation between the premanifest period, clinical mechanisms of the development of manifest psychosis, the structure of acute Kandinsky-Clerambault syndrome and the subsequent characteristics of the schizophrenia course. The question of prognostic significance of the differential approach to the assessment of acute Kandinsky-Clerambault syndrome and of its different clinical significance in the picture of clinical diseases is discussed.
一项对57例精神分裂症患者的临床随访研究揭示了急性康金斯基-克莱朗博综合征在疾病表现中临床作用的异质性。作者在潜在精神分裂症的病程、发作样和复发病程的发作表现以及类似临床进行性病程加剧的发作结构等“精神分裂症反应”框架内描述了精神自动症综合征。作者还展示了前驱期、显性精神病发展的临床机制、急性康金斯基-克莱朗博综合征的结构与精神分裂症病程后续特征之间的相关性。讨论了对急性康金斯基-克莱朗博综合征评估的差异方法的预后意义及其在临床疾病表现中的不同临床意义问题。
