Ismail Arifah, Ab Razak Asrenee, Sayuti Khairil Amir, Phoa Picholas Kian Ann
Department of Psychiatry, Hospital Universiti Sains Malaysia, Kota Bharu, MYS.
Department of Psychiatry, Universiti Sains Malaysia School of Medical Sciences, Kota Bharu, MYS.
Cureus. 2023 Oct 8;15(10):e46670. doi: 10.7759/cureus.46670. eCollection 2023 Oct.
This article discusses the case of an adult woman with comorbid major depressive disorder (MDD) and obsessive-compulsive disorder (OCD). Due to her poor response to initial treatment regimens, a brain computed tomography (CT) was performed, revealing mega cisterna magna (MCM). Subsequently, she responded well to the addition of lorazepam, a benzodiazepine, along with fluvoxamine and quetiapine XR. The clinical significance of MCM and MDD-OCD remains partially understood. Thus, this case report aims to contribute to the literature and review the treatment of benzodiazepines in relation to MCM, MDD, and OCD comorbidities.
本文讨论了一名患有重度抑郁症(MDD)和强迫症(OCD)合并症的成年女性病例。由于她对初始治疗方案反应不佳,进行了脑部计算机断层扫描(CT),结果显示为大枕大池(MCM)。随后,她在加用苯二氮䓬类药物劳拉西泮以及氟伏沙明和喹硫平缓释片后反应良好。大枕大池与重度抑郁症 - 强迫症合并症的临床意义仍部分未明。因此,本病例报告旨在丰富文献,并回顾苯二氮䓬类药物在大枕大池、重度抑郁症和强迫症合并症方面的治疗情况。