PDF(Pubmed)
Abstract：
BACKGROUND: Turner syndrome (TS) is a genetic disorder associated with partial or complete monosomy X abnormalities; some patients may have a higher risk of psychiatric symptoms. Catatonia is associated with a wide range of life-threatening complications with complex pathogenesis; However, It very rare for patients with TS to develop psychotic symptoms and eventually progress to catatonia. This case report describes the diagnostic and therapeutic course of catatonia-associated TS.
METHODS: In this study, we report the case of a patient with TS who initially developed sudden hallucinations, delusions, and emotional instability, followed by catatonia.
METHODS: The patient was diagnosed with: unspecified catatonia; TS.
METHODS: Treatment included administering a combination of esazolam injections and olanzapine tablets, placing a gastric tube and urinary catheter, and providing nutritional support.
RESULTS: After treatment, the patient\'s hallucinations, delusions, and catatonia disappeared, with no residual sequelae, and social functioning returned to normal.
CONCLUSIONS: For patients with TS who present with psychotic symptoms and catatonia, a comprehensive evaluation is necessary, and treatment with antipsychotics and benzodiazepines is effective.
METHODS: In this study, we report the case of a patient with TS who initially developed sudden hallucinations, delusions, and emotional instability, followed by catatonia.
METHODS: The patient was diagnosed with: unspecified catatonia; TS.
METHODS: Treatment included administering a combination of esazolam injections and olanzapine tablets, placing a gastric tube and urinary catheter, and providing nutritional support.
RESULTS: After treatment, the patient\'s hallucinations, delusions, and catatonia disappeared, with no residual sequelae, and social functioning returned to normal.
CONCLUSIONS: For patients with TS who present with psychotic symptoms and catatonia, a comprehensive evaluation is necessary, and treatment with antipsychotics and benzodiazepines is effective.
摘要：
背景：特纳综合征（TS）是与部分或完全X单体异常相关的遗传性疾病；一些患者可能有更高的精神症状风险。Catatonia与多种具有复杂发病机制的危及生命的并发症有关;然而,TS患者很少出现精神病症状并最终发展为紧张症。该病例报告描述了与紧张症相关的TS的诊断和治疗过程。
方法：在本研究中，我们报道了一个TS患者最初出现突然幻觉的病例，妄想,和情绪不稳定，其次是卡顿。
方法：患者被诊断为：非特指紧张症；TS。
方法：治疗包括联合服用艾司唑仑注射液和奥氮平，放置胃管和导尿管，并提供营养支持。
结果：治疗后，病人的幻觉，妄想,紧张症消失了,没有残留的后遗症，社会功能恢复正常。
结论：对于有精神病症状和紧张症的TS患者，全面评估是必要的，用抗精神病药和苯二氮卓类药物治疗是有效的。
方法：在本研究中，我们报道了一个TS患者最初出现突然幻觉的病例，妄想,和情绪不稳定，其次是卡顿。
方法：患者被诊断为：非特指紧张症；TS。
方法：治疗包括联合服用艾司唑仑注射液和奥氮平，放置胃管和导尿管，并提供营养支持。
结果：治疗后，病人的幻觉，妄想,紧张症消失了,没有残留的后遗症，社会功能恢复正常。
结论：对于有精神病症状和紧张症的TS患者，全面评估是必要的，用抗精神病药和苯二氮卓类药物治疗是有效的。
