Catatonic disorder due to a general medical or psychiatric condition.

Catatonic disorder due to a general medical or psychiatric condition.
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由于一般医学或精神疾病引起的紧张性精神障碍。

DOI:
10.1176/appi.neuropsych.11060120
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发表时间:
2012
期刊:
The Journal of neuropsychiatry and clinical neurosciences
影响因子:
--
通讯作者:
Kumar,Neeraj
Kumar,Neeraj
中科院分区:
--
文献类型:
--
作者:
Smith,JonathanH;Smith,VanessaD;Philbrick,KemuelL;Kumar,Neeraj

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识别继发于一般医学状况(CD-GMC)的紧张性精神障碍患者可能会影响急性和长期患者管理。作者对在我们机构就诊的符合DSM-IV-TR紧张性亚型标准的所有患者进行了20年回顾性队列分析。脑炎是CD-GMC患者中最常见的病因学诊断,腰椎穿刺是最可能影响急性治疗的检查。单变量Logistic回归分析采用Bonferroni校正多重比较产生的精神病史和临床癫痫发作史的情况下,作为变量增加的可能性的诊断CD-GMC. Prospective评估在一个更大的患者系列将需要更好地确定患者紧张症谁将受益于神经系统的评价。
Identification of individuals with catatonic disorder secondary to a general medical condition (CD-GMC) may affect both acute and long-term patient management. The authors performed a 20-year retrospective cohort analysis of all patients meeting DSM-IV-TR criteria for catatonic subtypes seen at our institution. Encephalitis was the most common etiologic diagnosis among patients with CD-GMC, and lumbar puncture the test most likely to affect acute management. Univariate logistic-regression analysis utilizing Bonferroni correction for multiple comparisons yielded absence of a psychiatric history and history of clinical seizure as variables increasing the likelihood of a diagnosis of CD-GMC. Prospective evaluation across a larger patient series will be required to better identify patients with catatonia who would benefit from neurologic evaluation.
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发表时间: 1981
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