[Hyperkinetic mutism within the scope of consciousness disorder in a case of systemic lupus erythematosus].
A thirty-year-old housewife, who had been diagnosed as SLE, had been hyperkinetic and mute for 13 months after reiteration of manic-depressive episodes. In this condition she walked around without aim, ate and drank only with nursing help, and could not understand the circumstances around her; she was incontinent of urine and feces. Serological examination did not show any abnormal results during psychic exacerbation. She recovered dramatically by electroconvulsive therapy, and was completely amnestic about the past 15 months. Because her mental state was considered to be limited consciousness, it might be possible that her hyperkinetic and mute state is situated between twilight state and akinetic mutism.
Kurokawa
Y
Y
Psychiatrische- und Nervenklinik der Hokkaido Universität, Sapporo, Japan.
Ueno
T
T
Obara
T
T
Gotohda
T
T
Fukatsu
R
R
Yamashita
I
I
D000328:Adult; D000647:Amnesia / Q000523:psychology; D001288:Attention; D001714:Bipolar Disorder / Q000523:psychology*; D003072:Cognition Disorders / Q000523:psychology*; D003244:Consciousness Disorders / Q000523:psychology*; D004565:Electroconvulsive Therapy; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000523:psychology; D009155:Mutism / Q000523:psychology*; D019965:Neurocognitive Disorders / Q000523:psychology*
Hyperkinetischer Mutismus innerhalb des Rahmens der Bewusstseinsstörung bei einem Fall von Systematischem Lupus erythematodes.