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一例由精神病引发的急性紧张症经劳拉西泮成功治疗的病例报告

A Case of Acute Catatonia Precipitated by Psychosis Successfully Treated With Lorazepam: A Case Report.

作者信息

Ahmed Ateeba, Patil Ragini, Longkumer Imyarila

机构信息

Psychiatry, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Nov 29;15(11):e49648. doi: 10.7759/cureus.49648. eCollection 2023 Nov.

Abstract

Catatonia is a multifaceted neuropsychiatric syndrome characterized by a spectrum of psychomotor disturbances that can severely impact the well-being of affected individuals. It may manifest as a primary psychiatric disorder or be associated with underlying medical, neurological, or psychiatric conditions. This case report details the clinical journey of a 22-year-old male who initially presented with psychotic symptoms and subsequently developed acute catatonia within three days of admission to a tertiary care hospital. The patient was successfully treated with intravenous lorazepam, resulting in a rapid and complete resolution of his catatonic state. This case underscores the intricate relationship between psychosis and catatonia and highlights the efficacy of lorazepam in managing catatonia. Recognition and timely intervention are pivotal for optimal patient outcomes. By shedding light on the importance of early diagnosis, comprehensive evaluation, and targeted treatment for catatonia, this case report adds to the body of knowledge in psychiatric practice. It underscores the need for clinicians to consider catatonia as a potentially reversible condition, particularly in individuals with psychotic disorders, and emphasizes the critical role of lorazepam in its management.

摘要

紧张症是一种多方面的神经精神综合征,其特征是一系列精神运动障碍,可严重影响受影响个体的健康。它可能表现为原发性精神障碍,或与潜在的医学、神经学或精神疾病相关。本病例报告详细介绍了一名22岁男性的临床病程,该患者最初表现出精神病症状,随后在三级护理医院住院三天内发展为急性紧张症。患者通过静脉注射劳拉西泮成功治愈,其紧张症状态迅速完全缓解。该病例强调了精神病与紧张症之间的复杂关系,并突出了劳拉西泮在治疗紧张症方面的疗效。识别和及时干预对患者获得最佳治疗效果至关重要。通过阐明早期诊断、全面评估和针对性治疗紧张症的重要性,本病例报告丰富了精神病学实践的知识体系。它强调临床医生需要将紧张症视为一种潜在可逆转的病症,特别是在患有精神障碍的个体中,并强调劳拉西泮在其治疗中的关键作用。

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