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首页> 外文期刊>Psychosomatics >Recurring episodes of Bell's mania after cerebrovascular accident.
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Recurring episodes of Bell's mania after cerebrovascular accident.

机译：脑血管意外后发生的贝尔躁狂发作反复发作。

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BACKGROUND: Bell's mania (mania with delirium) is an acute neurobehavioral syndrome of unknown etiology that is characterized by the rapid onset of grandiosity, psychomotor excitement, emotional lability, psychosis, and sleep disruption consistent with mania, coupled with alterations in sensorium, and disorientation characteristic of delirium. Catatonia is a common feature of the syndrome. METHOD: The authors describe a case of recurrent delirium/mania with prominent catatonic features after a cerebellar and pontine stroke, and subsequent successful treatment with lorazepam. RESULTS: Symptoms quickly resolved after antipsychotics were discontinued, with continuation of valproate and lorazepam treatment. DISCUSSION: Failure to recognize this patient's syndrome as a form of catatonia could have had severe, even life-threatening, consequences. The use of neuroleptic medications in cases of delirium/mania with catatonic signs may result in marked clinical deterioration, whereas high-dose lorazepam can ameliorate catatonic signs.
机译：背景：贝尔躁狂症（伴有ir妄的躁狂症）是一种病因不明的急性神经行为综合症，其特征是与躁狂症一样迅速出现宏大，精神运动兴奋，情绪不稳，精神病和睡眠障碍，并伴有感觉觉改变和定向障碍。 ir妄的特征。卡塔顿尼亚是该综合征的共同特征。方法：作者描述了一例小脑和桥脑卒中后复发性del妄/躁狂症，并伴有明显的强直性特征，随后成功使用劳拉西m治疗。结果：停用抗精神病药后症状迅速消失，并继续使用丙戊酸盐和劳拉西m治疗。讨论：未能认识到该患者的综合征为卡塔尼亚病的形式，可能会带来严重甚至威胁生命的后果。精神错乱性man妄症/躁狂症患者使用抗精神病药可能会导致临床症状显着恶化，而大剂量劳拉西can则可减轻精神分裂症症状。

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