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Article . 1908
License: CC 0
Data sources: ZENODO
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European Archives of Psychiatry and Clinical Neuroscience
Article . 1908 . Peer-reviewed
License: Springer TDM
Data sources: Crossref
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Körperliche Symptome bei functionellen Psychosen

Authors: Knapp, A.;

Körperliche Symptome bei functionellen Psychosen

Abstract

Das 25jahrige Madchen wurde zuerst durch eine Veranderung des ganzen Charakters auffallig, die sich in Entschlussunfahigkeit, Unthatigkeit, unmotivirtem Wechsel der Stellung und allerlei Verkehrtheiten ausserte. Dazu kamen Selbstvorwurfe und zuweilen in Phoneme gekleidete Bedrohungsvorstellungen von theilweise phantastischem Inhalt, aufallsweise Angst, lebhafte Suicidtendenz und spater auch hypochondrische Sensationen. Diesen im Wesentlichen den Symptomencomplex einer Angstpsychose bildenden Erscheinungen gesellten sich psychonaotorische Symptome zu. Neben impulsiven Handlungen und Anfallen von rhythmischem Schreien beherrschten Akinese und Mutacismus in wechselnder Intensitat das Krankheitsbild. Unter den zahlreichen korperlichen Begleiterscheinungen, der vorubergehenden Pulsverlangsamung und Pulsunregelmassigkeit, den acut auftretenden transitorischen Erythemen und der Blasenlahmung fielen besonders die Veranderungen des Muskeltonus in die Augen. Nachdem zuerst nur am linken Kniegelenk eine Herabsetzung des Muskeltonus wahrgenommen worden war, trat eine allgemeine hochgradige Schlaffheit der gesammten Korpermusculatur auf, die erst nach mehr als 10 Tagen wieder verschwand und am linken Knie am intensivsten war. Die Sehnenreflexe waren dabei erhoht.

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