Petursson H
Acta Psychiatr Scand. 1976 Oct;54(4):248-53. doi: 10.1111/j.1600-0447.1976.tb00118.x.
This case report describes successful lithium treatment in a patient with long-standing periodic catatonia. Various medical treatments had been tried with meager results. Since 1955, a number of phenothiazines had been tried, also with little improvement. The institution of lithium treatment in 1964 caused a dramatic improvement in the patient's condition. For 9 years the patient remained totally asymptomatic. Lithium treatment was terminated in 1975 because of lithium intoxication with a diabetes insipidus-like syndrome. The patient then became psychotic again and has since experienced periodic phases similar to the previous illness. The diagnostic validity of the case is discussed, and some possible explanations of the favourable response to lithium are mentioned briefly.
本病例报告描述了对一名患有长期周期性紧张症患者成功进行锂治疗的情况。此前尝试了各种医学治疗方法，但效果甚微。自1955年以来，试用了多种吩噻嗪类药物，病情也几乎没有改善。1964年开始锂治疗后，患者病情显著改善。9年来患者一直完全无症状。1975年因锂中毒伴尿崩症样综合征而终止锂治疗。此后患者再次出现精神病症状，且自那以后经历了与之前疾病相似的周期性发作阶段。本文讨论了该病例的诊断有效性，并简要提及了对锂治疗产生良好反应的一些可能解释。
