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Q4 Medicine

Psiquiatria Biologica Pub Date : 2021-01-01 DOI:10.1016/j.psiq.2020.10.002

Mar Jiménez Cabañas, Julia García-Albea Martín, Beatriz Serván Rendón-Luna

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引用次数: 0

摘要

目的本文通过一个病例报告，回顾谵妄性躁狂症的症状、诊断和治疗。病例报告:我们报告一名36岁的女性，被诊断为双相I型情感障碍，因出现易怒、躁动、扩张性、行为障碍和言语不连贯的突然发作而被送入精神病学病房。入院时，观察到患者整体恶化，包括注意力、定向和记忆的恶化、混乱、症状的波动和精神运动技能的改变。结果谵妄性躁狂表现突发性，具有明显的精神病性和迷惑性症状，可并发紧张性症状。应排除器质性病因，并与其他神经精神综合征进行鉴别诊断。一线治疗包括苯二氮卓类药物和电痉挛疗法。结论认识谵妄性躁狂症有助于制定早期治疗方案，避免继发并发症、发病率和死亡率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Reivindicando la manía confusa

Objectives

The objective of this article is to review, through the presentation of a case report, the symptoms, diagnosis and treatment of delirious mania.

Case report

We present a 36-year-old woman diagnosed with bipolar I disorder who was admitted to psychiatry ward for presenting an abrupt episode consisting of irritability, restlessness, expansiveness, behavioral disturbances and incoherent speech. During admission, the patient was observed to have a global worsening consisting of deterioration in attention, orientation and memory, confusion, fluctuation of the symptoms and alterations in psychomotor skills.

Results

Delirious mania presents abruptly with manifest, psychotic and confusional symptoms, and can be complicated by catatoniform symptoms. Organic causes of the condition should be ruled out as well as a performing a differential diagnosis with other neuropsychiatric syndromes. First-line treatment consists of benzodiazepines and ECT.

Conclusions

Recognizing delirious mania is relevant to establish early treatment and avoid derived complications, morbidity and mortality.

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来源期刊

Psiquiatria Biologica Medicine-Psychiatry and Mental Health

CiteScore

0.40

自引率

0.00%

发文量

期刊介绍： Es la Publicación Oficial de la Sociedad Española de Psiquiatría Biológica. Los recientes avances en el conocimiento de la bioquímica y de la fisiología cerebrales y el progreso en general en el campo de las neurociencias han abierto el camino al desarrollo de la psiquiatría biológica, fundada sobre bases anatomofisiológicas, más sólidas y científicas que la psiquiatría tradicional.