Bruni B, Carlini M, Gamba S, Giobbe D, Nobili M
Acta Diabetol Lat. 1980 Jul-Dec;17(3-4):273-6. doi: 10.1007/BF02581328.
A case of reversible catatonia in a well controlled insulin-dependent diabetic is described. The course of catatonia was characterized by very high CSF lactate values (serial semiautomatic determinations) during more than one month, beyond the clinical recovery. The CSF lactate elevations seem to reflect cerebral hypoxia. The uncommon coincidence of diabetes with cerebral atrophy, mental weakness, and perceptive deafness migh suggest the classification of this case of diabetes in the group 'associated with certain conditions and syndromes'.
本文描述了一例胰岛素依赖型糖尿病病情得到良好控制的患者出现可逆性紧张症的病例。紧张症病程的特点是，在临床恢复后的一个多月时间里，脑脊液乳酸值（连续半自动测定）一直非常高。脑脊液乳酸升高似乎反映了脑缺氧。糖尿病与脑萎缩、智力减退和感知性耳聋罕见地同时出现，这可能提示该糖尿病病例应归类于“与某些疾病和综合征相关”的组别。
