• 제목/요약/키워드: Catatonia

검색결과 7건 처리시간 0.016초

11세 남아에서 발생된 치사성 긴장증 1례 (A CASE OF LETHAL CATATONIA IN A 11-YEAR-OLD BOY)

  • 조인희;홍성도;정유숙
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제10권1호
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    • pp.121-133
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    • 1999
  • 치사성 긴장증은 긴장증의 한 유형이지만 극단적인 임상양상과 높은 치사율로 인하여 따로 분류하여서 하나의 증상군으로 취급되고 있다. 최근 정신 약물학의 발전과 질병 초기에 적절하고 집중적인 치료를 시행함으로써 전세계적으로 치사성 긴장증의 발생율이 현저하게 감소되었다. 본 저자들은 급성으로 발생된 고열, 자율신경계 이상, 다양한 긴장성 증상 및 긴장성 흥분과 혼미상태를 보였던 11세 남아에서의 치사성 긴장증 1례에 대한 매우 드문 경험을 소개하였다. 특히, 본 증례는 전형적인 경과에 비하여 경한 초기증상을 보인 치사성 긴장증에서 초기에 집중적인 대증요법과 정신약물 투여, 전기충격요법의 병행이 성공적인 치료 효과를 거둘 수 있음을 보여준 사례라 할 수 있다.

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전광증(癲狂症) 이환중(罹患中) 무동성(無動性) 함구증(含口症)이 발작된 환자(患者) 1례(例) (A case of akinetic mutism is revealed during contraction of catatonic schizophrenia)

  • 이동원;김은정
    • 동의신경정신과학회지
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    • 제12궈1호
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    • pp.193-200
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    • 2001
  • This is a case report that dysautonomia and catatonia are accompanied by Akinetic Mutism in a 28 year old patient whose symptoms, seemed to catatonic schizophrenia. This study is aimed to assist about comprehension, diagnosis and treatment of dysautonomia and catatonia are accompanied by Akinetic Mutism, because this case is not common. This patient's chief complains that hyperhidrosis, muscular rigidity, akinesia etc are seemed to Neuroleptic Malignant Syndrome. Neuroleptic Malignant Syndrome is a side effect during taking antipsychotic that unknowned high, fever, stupor, muscular rigidity, akinesia, tachycardia, hyperhidrosis, salivation. We cannot rule out Neuroleptic Milignant Syndrome, but this case is seemed to catatonic schizophrenia. The symptoms of catatonic schizophrenia is that prodrome(relaxed concern, ataraxy, lacked concentration) is progressed and akinesia, mutism, ankylosis, stupor etc, are appeared. Oriental medicine, environment with more objective study and treatment are needed.

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전기경련치료의 마취를 위한 실제적 문제들 (Practical Considerations in Anesthesia for Electroconvulsive Therapy)

  • 윤탁;김용식;이남영;김세현;최준권;이정혁;정인원
    • 생물정신의학
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    • 제24권3호
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    • pp.110-128
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    • 2017
  • Electroconvulsive therapy (ECT) has been recognized effective as primary or secondary treatments for major psychiatric disorders including depression and schizophrenia, as well as psychiatric emergency such as suicide, food refusal and catatonia, and so on. Medicines used in anesthetic induction for ECT, cause various reactions in autonomous, hemodynamic, and neuromuscular systems. The anesthetics also affect the duration, threshold, and intensity of seizures evoked with electric stimuli, and thus modify the seizure quality in ECT. Individual characteristics of age, sex, weight, comorbid physical disorders, and medications should also be considered for optimal clinical response after ECT. When preparing for anesthesia, adequate anesthetic agents and muscle relaxants, and rapid recovery should be carefully considered. We conducted a case-series study to address practical issues that are frequently encountered during ECT anesthesia with reviews of updated journals in order to provide practical helps to clinicians who are preparing ECT for their patients.

스페인의 국가발전과 지역주의 (National Development and Regionalism in Spain)

  • 안영진
    • 한국지역지리학회지
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    • 제7권3호
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    • pp.1-13
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    • 2001
  • 이 글의 목적은 19세기이래 스페인의 국가발전과 관련하여 지역주의가 어떻게 전개되어 왔는가를 살펴보는데 있다. 지난 2세기 동안 스페인의 지역주의는 국가발전에 적잖은 영향을 미쳤다. 한편으로 강력한 지역주의의 재흉은 스페인의 국민형성에 구조적 취약점으로 작용하였을 뿐 아니라, 바스크, 카탈루냐, 갈리시아 등 주변부의 영역적 민족주의 운동이 성립하는데 중요한 계기가 되었다. 하지만 다른 한편으로 지역주의는 지역담론과 문화적 접근을 통하여 국가의식을 강화하는데 기여하였다. 따라서 지역주의에 관한 통념과 달리, 스페인의 지역주의는 국민국가의 형성에 대립하면서도 동시에 보완하는 독특한 성격을 보여주었다. 지역주의의 오랜 역사적 발전과정은 프랑코체제를 거쳐 1970년대 후반 민주적 전환기에 지역분권화를 바탕으로 한 국가체제의 형성으로 귀착되었다.

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노년기 정신장애의 전기경련치료 (Electroconvulsive Therapy for Psychiatric Disorders in Elderly Adults)

  • 주은정;김희철;강웅구;이남영;박승현;김정민;김용식;정인원
    • 생물정신의학
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    • 제27권2호
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    • pp.42-57
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    • 2020
  • Electroconvulsive therapy (ECT) is indicated for various mental disorders (e.g., major depressive disorder, schizophrenia, and bipolar disorder) and the behavioral and psychological symptoms of dementia in elderly patients. Furthermore, ECT is a useful first-line treatment in emergency and crisis situations such as suicide risk, violent behavior, catatonia, and food refusal, which are more frequent in elderly patients. ECT is also effective in the treatment of the motor symptoms of neurological disorders, such as Parkinson's disease and Huntington's disease. Due to the high risk of various physical diseases, the comorbid physical conditions of elderly patients should be individually controlled to optimize ECT treatment. Compared to young adults, in elderly patients the seizure threshold is higher, the seizure duration is shorter, and the anesthetic dose is lower. On the contrary, the response rate in the elderly is both faster and higher. Considering potential cognitive decline and the prevention of further deterioration of cognitive function in elderly patients, in the absence of significant comorbidities, twice weekly sessions and right unilateral electrode placement with a lower seizure threshold and less cognitive effect are preferred to bilateral electrode placement, which has a high risk of adverse cognitive effects. After an acute course of ECT, continuation and maintenance of ECT, combined with prescription of therapeutic drugs, may prevent possible relapse or recurrence of mental disorders. In conclusion, ECT can be used to treat mental disorders in elderly adults, with safety and effectiveness comparable to that in young adults.

항-NMDA 수용체 뇌염의 정신증상: 증례보고 (Psychiatric Manifestations of Anti-NMDA Receptor Encephalitis: A Case Report)

  • 김현석;이해영;이상신
    • 정신신체의학
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    • 제29권2호
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    • pp.207-212
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    • 2021
  • 항-N-methyl-D-aspartate 수용체 뇌염(Anti-NMDAR encephalitis)은 NMDA 수용체에 대한 자가항체로 매개되는 신경 염증성 질환으로 초기에 뚜렷한 신경학 증상 없이 망상, 지각이상, 와해된 행동, 심한 불안, 인지기능저하 등의 정신증상이 두드러질 수 있다. 면역치료 혹은 종양제거와 같은 조기치료가 좋은 예후 인자이므로 질병초기에 정신질환과 구분하여 항-NMDAR 뇌염을 진단하는 것이 중요하다. 본 증례에서는 간질과 정신병적 증상을 보이는 26세 여성 A씨를 조기에 항-NMDAR 뇌염으로 확진한 뒤 양성 및 음성증상 척도(Positive and Negative Syndrome Scale, PANSS)를 사용하여 평가하였다. A씨의 항-NMDAR 뇌염 초기의 정신증상으로 PANSS에서 양성하위척도 보다 음성하위척도 점수가 더 높았다. 정신장애와 비교하여 항-NMDAR 뇌염 초기에 음성증상과 인지장애가 더욱 두드러질 가능성이 있다. A씨의 치료로는 rituximab과 난소 기형종의 제거가 효과적이었고 항정신병제로는 quetiapine을 사용하였다. 특히 젊은 여성에서 망상, 행동장애와 함께 음성증상, 인지장애, 긴장증, 의식수준의 변화, 운동이상증상 등이 관찰될 때 항-NMDAR 뇌염에 대한 평가를 고려해야 한다.

Korean Red Ginseng affects ovalbumin-induced asthma by modulating IL-12, IL-4, and IL-6 levels and the NF-κB/COX-2 and PGE2 pathways

  • Lee, Soon-Young;Kim, Min-Hee;Kim, Seung-Hyun;Ahn, Taeho;Kim, Sung-Won;Kwak, Yi-Seong;Cho, Ik-Hyun;Nah, Seung-Yeol;Cho, Seung-Sik;Park, Kyung Mok;Park, Dae-Hun;Bae, Chun-Sik
    • Journal of Ginseng Research
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    • 제45권4호
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    • pp.482-489
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    • 2021
  • Background: Asthma is an incurable hyper-responsive disease of the pulmonary system that is caused by various allergens, including indoor and outdoor stimulators. According to the Global Asthma Network, 339 million people suffered from asthma in 2018, with particularly severe forms in children. Numerous treatments for asthma are available; however, they are frequently associated with adverse effects such as growth retardation, neurological disorders (e.g., catatonia, poor concentration, and insomnia), and physiological disorders (e.g., immunosuppression, hypertension, hyperglycemia, and osteoporosis). Methods: Korean Red Ginseng has long been used to treat numerous diseases in many countries, and we investigated the anti-asthmatic effects and mechanisms of action of Korean Red Ginseng. Eighty-four BALB/c mice were assigned to 6 treatment groups: control, ovalbumin-induced asthma group, dexamethasone treatment group, and 3 groups treated with Korean Red Ginseng water extract (KRGWE) at 5, 25, or 50 mg/kg/day for 5 days. Anti-asthmatic effects of KRGWE were assessed based on biological changes, such as white blood cell counts and differential counts in the bronchoalveolar lavage fluid, serum IgE levels, and histopathological changes in the lungs, and by examining anti-asthmatic mechanisms, such as the cytokines associated with Th1, Th2, and Treg cells and inflammation pathways. Results: KRGWE affected ovalbumin-induced changes, such as increased white blood cell counts, increased IgE levels, and morphological changes (mucous hypersecretion, epithelial cell hyperplasia, inflammatory cell infiltration) by downregulating cytokines such as IL-12, IL-4, and IL-6 via GATA-3 inactivation and suppression of inflammation via NF-κB/COX-2 and PGE2 pathways. Conclusion: KRGWE is a promising drug for asthma treatment.