关键词: Catatonia Diagnosis Management Neuroleptic malignant syndrome

来  源:   DOI:10.1016/j.ajmo.2023.100059   PDF(Pubmed)

Abstract:
UNASSIGNED: Catatonia is a complex psychomotor syndrome commonly associated with psychiatric disorders. However, hospitalists encounter this condition on medical floors, where it is typically due to an underlying medical, especially neurological, etiology. Delays in the diagnosis of catatonia are common and lead to worsened outcomes for patients, including a multitude of medical complications, such as venous thromboembolism and stasis ulcers. Catatonia due to a medical condition is less likely to respond to benzodiazepine therapy; identification and treatment of the underlying cause is crucial.
UNASSIGNED: This article provides a practical review of the catatonia literature, with a focus on diagnosis, workup, and management of catatonia for patients admitted to medical hospitals.
UNASSIGNED: With greater knowledge about catatonia, internists are uniquely positioned to recognize and initiate treatment.
摘要:
紧张症是一种复杂的精神运动综合征,通常与精神疾病有关。然而,住院医生在医疗楼层遇到这种情况,通常是由于潜在的医学,尤其是神经学,病因学。卡通症的诊断延迟是常见的,并导致患者的预后恶化,包括许多医疗并发症,如静脉血栓栓塞和淤滞性溃疡。由于医疗条件引起的紧张症不太可能对苯二氮卓类药物治疗产生反应;识别和治疗根本原因至关重要。
本文提供了对卡顿多尼亚文献的实践回顾,专注于诊断,workup,以及对医院住院患者的紧张症管理。
有了更多关于卡顿尼亚的知识,内科医生在识别和启动治疗方面处于独特的位置。
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