Çilem BİLGİNER, Gülşah BAKİ, Mutlu KARAKUŞ, Sema KANDİL

Travma sonrası gelişen affektif bozukluklarda katatoni öncül belirti midir? Bir olgu sunumu

Katatoni, anormal beden hareketleri, reddedici tutum, konuşma veya bilinçte değişimler ile karakterize bir klinik tablodur. Yirminci yüzyıl boyunca şizofreni ile ilişkili bir durum olarak kabul görmüş olan bu tablo, bugün ayrı bir bozukluk olarak tanımlanmaktadır. Çocuk ve ergenlerde az bildirilen bu tablo erken tanı ve uygun tedavi ile düzelebilir. Ancak tabloya ateş ve otonomik bozukluklar eklendiğinde yaşamı tehdit eden bir durum oluşabilir. Bu olgu sunumunda, akut stres bozukluğunu izleyerek katatoni gelişen ve izlemede manik nöbet saptanmış bir ergen olgu tartışılmıştır. Böylece çocuk ve ergenlerde ihmal edilebilen katatoni tanısı ile olguların izlenmesine dikkat çekmek amaçlanmıştır. (Anadolu Psikiyatri Derg 2016; 17(Ek.3):84-87).

Is catatonia a predictive symptom of affective disorders following traumatic stress? A case report

Catatonia is a syndrome that is characterized by abnormal body movements, negativism, mutism or disturbances in conscious. During the twentieth century catatonia was accepted as a condition associated with schizophrenia but today it is defined as a separate disorder. Catatonia is a rarely reported condition in children and adolescents and a curable condition with early diagnosis and proper treatment. But it could be a life-threatening disorder if fever and autonomic changes accompany with it. In this report an adolescent diagnosed with catatonia following acute stress disorder and also diagnosed with manic episode in follow-up visits is presented. Thus we aimed to take attention to catatonia that can be neglected in children and adolescents and to follow-up visits of these cases. (Anatolian Journal of Psychiatry 2016; 17(Suppl.3):84-87).

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