Depressive stupor

Introduction It is characterized by lack of active behavior and movements, extremely slow response, frequent sitting or lying in bed, silent, and not actively revealing any willingness to ask. Under repeated persuasion or request, there may be a slight tendency to move, such as nodding or shaking your head. The patient's plain expression reveals anxiety, depression, and pain. When the conversation touches his heart, depression can be aggravated. The increase in muscle tone is not obvious, and there is basically no stiff, illegal, stereotypical action and incontinence.

Cause

The cause of depressive stupor:

1. Organic brain lesions: such as encephalitis, brain tumors, epilepsy, brain trauma and so on.

2. Endogenous psychosis: such as schizophrenia, affective disorder, etc.

3. Reactive psychosis.

4. Inhalation of psychoactive substances: such as alcoholism.

an examination

Related inspection

Cerebrospinal fluid magnesium

Examination and diagnosis of depressive stupor:

1. Medical history: Carefully ask about the medical history, comprehensive understanding of juvenile development, pre-existing personality characteristics, other physical illnesses, brain trauma, convulsions, coma and mental illness. When asking about mental symptoms, in addition to paying attention to the relevant performance of the behavior, you should also comprehensively ask about the situation of consciousness, emotion, will, perception, thinking, memory and intelligence.

2. Physical examination: a comprehensive system of physical examination, paying special attention to the examination of the nervous system.

3. Laboratory and auxiliary examination: timely blood routine, liver function, blood biochemical examination, when considering physical illness, should do thyroid function test, cerebrospinal fluid examination and brain angiography or brain CT examination.

Differential diagnosis

Symptoms of depressive stupor confusing symptoms:

(1) Schizophrenia: Tension-type schizophrenia can cause tensional stiffness, more than tension excitability alternates, and the course of the disease is mostly paroxysmal. The disease is mostly young or middle-aged, and the onset is more urgent. In addition to stupor or excitement, there are other perceptual thinking disorders.

(2) Depression: When depression occurs, all of them are depressive stupor. The disease starts in middle age, develops slowly, and progressively worsens. On the basis of severe depression, a stupor state can occur. The improvement of depression can gradually ease.

(C) brain organic psychosis: encephalitis, epilepsy, brain trauma, brain tumors invading the third ventricle and other brain organic diseases can appear stupor state, mostly manifested as organic stupor, body and auxiliary examination The diagnosis can be confirmed.

(4) Reactive psychosis: The stupor state after strong mental stimulation is mostly psychogenic stupor, the duration is generally short, and the disease is rapidly onset.

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