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当饮酒导致灾难：一例成年患者复发性酒精戒断性紧张症

When Consumption Leads to Catastrophe: A Case of Recurrent Alcohol Withdrawal Catatonia in an Adult Patient.

作者信息

Chadha Yatika, Toshniwal Saket S, Patil Ragini

机构信息

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

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

出版信息

Cureus. 2024 May 29;16(5):e61301. doi: 10.7759/cureus.61301. eCollection 2024 May.

DOI:10.7759/cureus.61301
PMID:38947729
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11212839/
Abstract

Catatonia is a motor dysregulation syndrome and a multifaceted neuropsychiatric behavioral syndrome distinguished by abnormal movements, immobility, abnormal behavior, and withdrawal, where patients are unable to move normally despite full physical capacity. Catatonia, in the background of alcohol withdrawal, is a fairly rare phenomenon. Therefore, we are reporting a case where the patient has a history of binge alcohol consumption, with catatonia reoccurring with his withdrawal symptoms, and no other illicit drug use in his history. Its rarity, complex presentation, and potential diagnostic pitfalls necessitate heightened awareness among healthcare professionals.

摘要

紧张症是一种运动调节障碍综合征，是一种多方面的神经精神行为综合征，其特征为异常运动、不动、异常行为和退缩，尽管患者身体功能完全正常，但却无法正常活动。在酒精戒断背景下出现的紧张症是一种相当罕见的现象。因此，我们报告一例患者，该患者有酗酒史，在戒断症状出现时紧张症复发，且其病史中无其他非法药物使用情况。其罕见性、复杂的表现以及潜在的诊断陷阱，需要医护人员提高警惕。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e89/11212839/7e7a8c15c111/cureus-0016-00000061301-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e89/11212839/7e7a8c15c111/cureus-0016-00000061301-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e89/11212839/7e7a8c15c111/cureus-0016-00000061301-i01.jpg

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Cureus. 2024 May 29;16(5):e61301. doi: 10.7759/cureus.61301. eCollection 2024 May.
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本文引用的文献

1
A Case of Acute Catatonia Precipitated by Psychosis Successfully Treated With Lorazepam: A Case Report.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
Cureus. 2023 Nov 29;15(11):e49648. doi: 10.7759/cureus.49648. eCollection 2023 Nov.
2
Beyond the Bottle: Niacin Deficiency and Chronic Alcoholism.酒瓶之外：烟酸缺乏与慢性酒精中毒
Cureus. 2023 Nov 27;15(11):e49482. doi: 10.7759/cureus.49482. eCollection 2023 Nov.
3
Catatonia as a Presenting Feature in a Case of Alcohol Withdrawal: Is There a Causal Link?以紧张症为首发特征的酒精戒断病例：是否存在因果关系？
Indian J Psychol Med. 2022 May;44(3):310-311. doi: 10.1177/0253717620975289. Epub 2021 Jan 5.
4
Catatonia Presentation as a Rare Alcohol Withdrawal Symptom in a Patient With No Past Psychiatry History: A Case Report.紧张症表现为无既往精神病史患者罕见的酒精戒断症状：一例报告。
Cureus. 2021 Mar 5;13(3):e13722. doi: 10.7759/cureus.13722.
5
Cingulate-basal ganglia-thalamo-cortical aspects of catatonia and implications for treatment.紧张症的扣带回-基底神经节-丘脑-皮质方面及其治疗意义。
Handb Clin Neurol. 2019;166:223-252. doi: 10.1016/B978-0-444-64196-0.00012-1.
6
Catatonia and alcohol withdrawal: a complex and underestimated syndrome.紧张症与酒精戒断：一种复杂且被低估的综合征。
Alcohol Alcohol. 2012 May-Jun;47(3):288-90. doi: 10.1093/alcalc/agr170. Epub 2012 Jan 25.
7
Phenomenology and treatment of Catatonia: A descriptive study from north India.紧张症的现象学和治疗：来自印度北部的描述性研究。
Indian J Psychiatry. 2011 Jan;53(1):36-40. doi: 10.4103/0019-5545.75559.
8
The catatonia syndrome: forgotten but not gone.紧张症综合征：被遗忘却未消逝。
Arch Gen Psychiatry. 2009 Nov;66(11):1173-7. doi: 10.1001/archgenpsychiatry.2009.141.