PDF(Pubmed)
Abstract：
Catatonia is a psychomotor syndrome with specific clusters of speech, behavioral and motor features. Although potentially life-threatening, especially in its malignant form accompanied with autonomic dysregulation and medical complications, it is a treatable condition, when promptly identified. For a long time catatonia was considered a marker of schizophrenia, thus limiting the possibility of diagnosis and treatment. Due to growing awareness and studies on the subject, it is now known that catatonia can occur in the context of a number of diseases, including psychotic, affective and neurodevelopmental disorders. In recent years, there\'s been a renewed interest in the recognition and definition of catatonia in neurodevelopmental disorders, such as Autism Spectrum Disorder (ASD), where the differential diagnosis poses great challenges, given the considerable overlapping of signs and symptoms between the conditions. We present the case of a 15 year old boy with High Functioning ASD with a sudden onset of severe catatonic symptoms and the co-existence of psychotic symptoms, whose complex clinical course raises many questions on the differentiation and relation of said disorders.
摘要：
Catatonia是一种精神运动综合征，具有特定的言语簇，行为和运动特征。尽管可能危及生命,尤其是其恶性形式伴有自主神经失调和医学并发症，这是一种可以治疗的疾病，当及时识别。长期以来，紧张症被认为是精神分裂症的标志，从而限制了诊断和治疗的可能性。由于对该主题的认识和研究的提高，现在已经知道，卡通症可以发生在许多疾病的背景下，包括精神病患者,情感和神经发育障碍。近年来,人们对神经发育障碍中卡通症的识别和定义重新产生了兴趣，如自闭症谱系障碍(ASD)，鉴别诊断带来了巨大的挑战，考虑到症状和体征之间存在相当大的重叠。我们介绍了一个15岁的高功能ASD男孩，突然出现严重的紧张性症状，并伴有精神病症状，其复杂的临床过程对所述疾病的分化和关系提出了许多问题。
