Yalgi Raj, Dere Shubhangi, Ponda Aakash, Kaur Darpan, Ghildiyal Rakesh
Department of Psychiatry, Mahatma Gandhi Missions Medical College and Hospital, Kamothe, Maharashtra, India.
Ind Psychiatry J. 2024 Jul-Dec;33(2):406-408. doi: 10.4103/ipj.ipj_252_24. Epub 2024 Dec 17.
Catatonia is a neuropsychiatric syndrome characterized by stupor, mutism, negativism, posturing, mannerisms, stereotypies, waxy flexibility, catalepsy, grimacing, echolalia, and echopraxia. This syndrome has a plethora of etiologies that arise from neurological and medical conditions, psychiatric illnesses, and withdrawal of psychoactive substances. Adding to this, it has numerous differentials, including an acute confusional state, which often adds to the diagnostic dilemma. The incidence of catatonia is between 5 and 20%. A comprehensive workup of the patient is required to rule out organic causes, after which a diagnosis of catatonia can be looked into for treatment. We present three case reports who presented with catatonic syndrome but had different etiologies.
紧张症是一种神经精神综合征,其特征为木僵、缄默、违拗、姿势异常、怪癖、刻板动作、蜡样屈曲、僵住、做鬼脸、模仿言语及模仿动作。该综合征有众多病因,源于神经和医学病症、精神疾病以及精神活性物质戒断。此外,它有许多鉴别诊断,包括急性意识模糊状态,这常常增加诊断难题。紧张症的发病率在5%至20%之间。需要对患者进行全面检查以排除器质性病因,之后可考虑诊断为紧张症并进行治疗。我们呈现三例表现为紧张症综合征但病因不同的病例报告。