頁籤選單縮合
題 名 | 僵直症狀對Zolpidem之反應=A Treatment Responsive of Catatonia to Zolpidem |
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作 者 | 黃璨瑜; 黃條來; | 書刊名 | 臺灣精神醫學 |
卷 期 | 17:2 2003.06[民92.06] |
頁 次 | 頁156-160 |
分類號 | 418.2131 |
關鍵詞 | 僵直症狀; Catatonia; Lorazepam; Zolpidem; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:許多文獻報告BZD 類特別是lorazepam 對緩解僵直症狀有效。zolpidem 雖非BZD 結構,同BZD 類都可作用在GABAA 接受體上。國外有案例指出zolpidem 對僵直症狀有短暫療效。本文提出國內二病例對zolpidem 的反應結果。 病例報告:二案例符合DSM-IV 僵直現象(catatonic feature),排除器質性因素後,發現給予口服zolpidem 10mg 僵直症狀半小時內快速緩解,但亦發現無法持續改善。 結論:zolpidem 有效短暫緩解僵直症狀,再次支持GABAA 接受體於僵直症狀機轉中扮演重探角色。 |
英文摘要 | Objective: Catatonia is a syndrome involving motor abnormalities and has psychiatric andother general medical etiologies. The effectiveness of benzodiazepines is well known, especially lorazepam. Several studies have shown that zolpidem, a selective γ-aminobutyric acid A (GABAA) agonist with a hypnoselective profile, can dramatic improve catatonia.We attempt to duplicate these findings in two patients, each with clinically diagnosis of catatonia. Case reports:The two cases met the criteria for a diagnosis of a catatonic feature according to DSM-IV. Our investigations excluded organic causes. Improvement occurred within 30min after administration of zolpidem. Conclusion: We showed that zolpidem, a GABAA agonist could relieve the symptoms of catatonia rapidly. Zolpidem seems to be a safe and effective pharmacological test for catatonia. These cases suggested that the GABAA receptors play a crucial role in catatonia. |
本系統中英文摘要資訊取自各篇刊載內容。