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一名偏执型精神分裂症患者的科塔尔综合征:I型表现的病例报告

Cotard's Syndrome in a Patient With Paranoid Schizophrenia: A Case Report of a Type I Presentation.

作者信息

Tsuladze Mariam, Sulaberidze Khatia

机构信息

Psychiatry, Tbilisi State Medical University, Mental Health Centre, Tbilisi, GEO.

Psychiatry, Mental Health Centre, Tbilisi, GEO.

出版信息

Cureus. 2025 Jul 11;17(7):e87731. doi: 10.7759/cureus.87731. eCollection 2025 Jul.

Abstract

This report presents a rare case of Cotard's syndrome in a middle-aged woman with paranoid schizophrenia. The patient developed symptoms characterized by Cotard's syndrome in the psychiatric ward after several days of treatment. Our patient's presentation was not typical: she had a nihilistic delusion but lacked depressive symptoms. The patient was successfully treated with haloperidol, diazepam, and levomepromazine. This case demonstrates the importance of identifying Cotard's condition in non-depressed, schizophrenic individuals, as prompt management can improve outcomes.

摘要

本报告介绍了一例中年偏执型精神分裂症女性患者出现科塔尔综合征的罕见病例。该患者在治疗几天后于精神科病房出现了以科塔尔综合征为特征的症状。我们这位患者的表现并不典型:她有虚无妄想,但没有抑郁症状。该患者通过使用氟哌啶醇、地西泮和左美丙嗪成功治愈。本病例表明,在非抑郁的精神分裂症患者中识别科塔尔综合征的重要性,因为及时治疗可以改善预后。

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