Endozepine Stupor: Disease or Deception? A Critical Review
نویسندگان
چکیده
منابع مشابه
Endozepine stupor. Recurring stupor linked to endozepine-4 accumulation.
Recurring stupor can be caused by repeated metabolic, toxic or structural brain disturbances. Recently, cases of recurring stupor, with fast EEG activity were shown to display increased endogenous benzodiazepine-like activity during the episodes of stupor. Patients with recurring stupor underwent extensive metabolic and toxicologic screening, EEG and brain imaging. Endozepines and exogenously a...
متن کاملModafinil in endozepine stupor. A case report.
BACKGROUND Endozepine-4 stupor is a rare disorder. It presents with recurrent episodes of stupor and coma. Endozepine-4 levels are elevated during an attack with electroencephalogram showing fast activity during the ictal phase. There is no specific treatment and various drugs have been tried without long-term benefit. METHOD We used the vigilance promoting drug modafinil to prevent such atta...
متن کاملSuspected covert lorazepam administration misdiagnosed as recurrent endozepine stupor.
We recently reported in Brain (Lugaresi et al., 1998) 20 cases of idiopathic recurrent stupor due to endozepine-4 accumulation in the blood. Samples obtained from nine of these patients were analysed by gas chromatography–mass spectrometry to rule out contaminating synthetic benzodiazepines (Rothstein et al., 1992). All these samples contained endozepine-4 concentrations high enough to account ...
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Dr. Chittaranjan Andrade shared a case in a letter to the editor in the July 2001 issue of Indian Journal of Psychiatry (Andrade, 2001) and he, as proposed by Dr. Fink (Fink, 2001) must be congratulated for bringing this treatable, life threatening condition to the notice of psychiatric fraternity and we must also thank Dr. Fink for giving guidelines to manage excited manic patients in the same...
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A woman in the care of the author 40 years ago was reported to have been sleeping for 2 days. We treated her condition as conversion hysteria. Her private psychiatrist was the renowned R. D. Laing; he was unhappy with our line of management, on the grounds of the arbitrariness of the diagnosis, the labelling of the woman with a diagnosis of hysteria and the treatment of the patient without her ...
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ژورنال
عنوان ژورنال: Sleep
سال: 2004
ISSN: 1550-9109,0161-8105
DOI: 10.1093/sleep/27.8.1597