{"title":"成人紧张性精神分裂症患者的废用性左手萎缩和持续性左握拳","authors":"S. Hamed","doi":"10.17756/jnen.2019-057","DOIUrl":null,"url":null,"abstract":"Case description: A 34-year-old male had schizophrenia characterized (in severe episodes) by apathy, negativism and auditory hallucinations. He had low intelligence (IQ = 68), schizoid personality traits and first degree relatives with schizophrenia. At the age of 27, he experienced stereotyped spitting behavior, bizarre facial grimacing and left persistent clenched fist posturing. Neurological evaluation revealed left hand posturing, atrophy and nail injuries of the hand flesh with fungal infection and motor apraxia. Therapy with different antipsychotics, electroconvulsive therapy and lorazepam resulted in partial clinical improvement but failed to improve hand posturing.","PeriodicalId":91755,"journal":{"name":"Journal of neurology and experimental neuroscience","volume":"47 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Disuse Left Hand Atrophy and Persistent Left Clenched Fist in an Adult with Catatonic Schizophrenia\",\"authors\":\"S. Hamed\",\"doi\":\"10.17756/jnen.2019-057\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Case description: A 34-year-old male had schizophrenia characterized (in severe episodes) by apathy, negativism and auditory hallucinations. He had low intelligence (IQ = 68), schizoid personality traits and first degree relatives with schizophrenia. At the age of 27, he experienced stereotyped spitting behavior, bizarre facial grimacing and left persistent clenched fist posturing. Neurological evaluation revealed left hand posturing, atrophy and nail injuries of the hand flesh with fungal infection and motor apraxia. Therapy with different antipsychotics, electroconvulsive therapy and lorazepam resulted in partial clinical improvement but failed to improve hand posturing.\",\"PeriodicalId\":91755,\"journal\":{\"name\":\"Journal of neurology and experimental neuroscience\",\"volume\":\"47 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2019-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of neurology and experimental neuroscience\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.17756/jnen.2019-057\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of neurology and experimental neuroscience","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.17756/jnen.2019-057","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Disuse Left Hand Atrophy and Persistent Left Clenched Fist in an Adult with Catatonic Schizophrenia
Case description: A 34-year-old male had schizophrenia characterized (in severe episodes) by apathy, negativism and auditory hallucinations. He had low intelligence (IQ = 68), schizoid personality traits and first degree relatives with schizophrenia. At the age of 27, he experienced stereotyped spitting behavior, bizarre facial grimacing and left persistent clenched fist posturing. Neurological evaluation revealed left hand posturing, atrophy and nail injuries of the hand flesh with fungal infection and motor apraxia. Therapy with different antipsychotics, electroconvulsive therapy and lorazepam resulted in partial clinical improvement but failed to improve hand posturing.
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