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CATATONIA

بنام خدا. CATATONIA. دكتر سيد غفور موسوي دانشيار روانپزشكي. تعاريف. كاتاتونيا يك 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 ).

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CATATONIA

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  1. بنام خدا CATATONIA دكتر سيد غفور موسوي دانشيار روانپزشكي

  2. تعاريف • كاتاتونيايكسندرم رواني حركتي استكهبا 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)

  3. انواع کاتاتونیا 1/ Stupor 2/ Excited 3/ Posturing

  4. 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

  5. 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.

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

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