دكتر سيد غفور موسوي دانشيار روانپزشكي

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Presentation transcript:

دكتر سيد غفور موسوي دانشيار روانپزشكي بنام خدا CATATONIA دكتر سيد غفور موسوي دانشيار روانپزشكي

تعاريف كاتاتونيايك سندرم رواني حركتي است كه با حداقل دوتا ازعلائم زير مشخص مبگردد: 1/MUTISM OR NEGATIVISM 2/STUPOR 3/EXCITATION 4/WAXY FLEXIBILITY 5/POSTURING 6/ECHO-PHENOMENONS (ECHO-LALIA, ECHO-PRAXIA)

انواع کاتاتونیا 1/ Stupor 2/ Excited 3/ Posturing

كاتاتونيا در چه اختلالاتي ممكنست ديده شود؟ a/ FUNCTIONAL DISORDERS: -BRIEF PSYCHOTIC D. -SCHIZOPHRENIFORM D. -SCHIZOPHRENIA -MOOD D.esp.:BIPOLAR2 ,& M.D.D. -DELUSIONAL D. MOOD D.esp.:BIPOLAR2 ,& M.D.D

b/ORGANIC DISORDERS: -INFECTIONS :encephalitis,septicemia,etc. -TOXICATIONS -SUBSTANCES USE:opium,alcohol, ecstasy, etc. -ENDOCRINE D.:hypothyroidism, hyperthyroidism,etc. -METABOLIC D. - TRAUMAS;head trauma,massive traumas,etc. -DRUGS:corticoesteroids,antipsychotics,etc. -OTHER SYSTEMIC D.

E.MANAGEMENT OF CATATONIA CHOICE: -ECT -BENZODIAZEPINES (Like lorazepam) -ANTIPSYCHOTICS(high potent):haloperidol,thiothixene, flufhenazine,etc. OTHERS: -SUPPORTIVES:fluide,electrolytes,food& NGtube,bedsore prevention,urinary catheter,etc. -TREATMENT OF THE BASIC DISORDER.