PDF(Pubmed)
Abstract：
Catatonia is a multifaceted neuropsychiatric syndrome characterized by a spectrum of psychomotor disturbances that can severely impact the well-being of affected individuals. It may manifest as a primary psychiatric disorder or be associated with underlying medical, neurological, or psychiatric conditions. This case report details the clinical journey of a 22-year-old male who initially presented with psychotic symptoms and subsequently developed acute catatonia within three days of admission to a tertiary care hospital. The patient was successfully treated with intravenous lorazepam, resulting in a rapid and complete resolution of his catatonic state. This case underscores the intricate relationship between psychosis and catatonia and highlights the efficacy of lorazepam in managing catatonia. Recognition and timely intervention are pivotal for optimal patient outcomes. By shedding light on the importance of early diagnosis, comprehensive evaluation, and targeted treatment for catatonia, this case report adds to the body of knowledge in psychiatric practice. It underscores the need for clinicians to consider catatonia as a potentially reversible condition, particularly in individuals with psychotic disorders, and emphasizes the critical role of lorazepam in its management.
摘要：
Catatonia是一种多方面的神经精神综合征，其特征是一系列精神运动障碍，可严重影响受影响个体的福祉。它可能表现为原发性精神疾病或与基础医学有关，神经学,或精神病。此病例报告详细介绍了一名22岁男性的临床旅程，该男性最初出现精神病症状，随后在进入三级护理医院的三天内发展为急性紧张症。病人成功地静脉注射劳拉西泮,导致他的紧张状态的快速和完整的解决。该病例强调了精神病与紧张症之间的复杂关系，并强调了劳拉西m在治疗紧张症中的功效。识别和及时干预对于最佳患者预后至关重要。通过阐明早期诊断的重要性，综合评价,以及对紧张症的靶向治疗,本病例报告增加了精神病学实践中的知识体系。它强调了临床医生需要将紧张症视为潜在的可逆疾病，特别是在患有精神病的人中，并强调劳拉西泮在其管理中的关键作用。
