Tension syndrome

The most prominent clinical manifestations of patients with systemic symptoms of muscle strength increased tensions, including inattention and nervous tension both excited state. The former often defied disease, monotonous speech and rigid movements, copying words and imitating movements, wax-like symptoms such as buckling. Nervous state of stupor sustainable few days or a few years, without any reason to turn to excited state. Excited state continued short-term, often sudden outbreak of the excitement and violent behavior, and then enter a state of stupor or mitigation. Tension syndrome occur in a clear state of consciousness, a few dream-like sense of the obstacles arising from the background, appeared on the surrounding environment and the large number of perceived barriers to sexual fantasy image After a sober awareness of sexual fantasy image of the contents can still recall. Differential diagnosis (1) schizophrenia tension-type (ty catatonic schizophrenia pe) onset in the majority of young or middle-aged, more aggressive onset. Course of a sustained sexual attack. Mainly for nervous tension and excitement stupor. Taken individually or alternating occurred. The former performance impulsive behavior, incomprehensible, speech content monotonous routine, moves strange to imitate speech. The latter performance sports restrained, less dynamic language to not less food and motionless on the surrounding environment can not afford to stimulate the reaction, defied. imitate the movements and imitate speech, even paranoia can be accompanied by hallucinations. (2) depression (depression) in stupor depression, patients are silent language, no autonomy, not even diet, urine retention, could be transited from acute depression. (3) myxedema (myxedma) the basic symptoms of patients all the activities are slow, accompanied by loss of memory, the illusion and hallucination, some of the patients may be in a state of stupor. (4) Lead poisoning (lead poisoning) in severe poisoning, the possibility of lead poisoning encephalopathy. Mental retardation performance, slowed movement, depression or emotional anxiety. Further development occurs manic, delirium, convulsions, coma or stupor. According to the history of lead exposure and clinical diagnosis of the disease is not difficult. (5) brain injury caused by mental disorders (mental disorders caused by br ain injury) in the cerebral contusion, with the performance to narrow the scope of awareness, perception fuzzy, orientation is restricted, Patients may suddenly excited, impulsivity, and even caused discipline. Have some meaningless action. Also have rich and vivid illusion, hallucination. Also accompanied by other symptoms, according to the diagnosis of traumatic history of one. (6) reactive mental disorders (reactive mental disorders) in strong under acute mental trauma onset, the patient suddenly catalepsy is strong, silent language, calling not. During the short, the majority continued for a few minutes or a few hours, and occasionally up to several days, but generally no more than one week. When individual patients with hematuria state after remission, can be transferred into a state of excitement, this time accompanied by most of consciousness. Such inattention said reactive stupor, also known as the heart of sexual stupor.