Friday, 3 June 2011

With a partial stupor observed ...

A very characteristic is also another pose - lying on your back with your head elevated on a pillow - a symptom of an air cushion. Disinhibition is relevant to childhood sucking reflex leads to symptoms of proboscis when you touch the lips they form a tube and protrude, in some cases this situation is constantly lips. Rastormazhi, is called as grasping reflex (properties in normal infants only): the patient grasps and tenaciously holds all that accidentally touched his hand. With a partial stupor occur occasionally echo symptoms: echolalia - repeating slo someone from the others, echopraxia - copying other people's movements. At the heart of ehosimptomov - inhibition of imitative reflex, peculiar to children and promoting their mental development. The release of stem postural reflexes expressed catalepsy (waxy flexibility): the patient long sohrayyaet dowry of his body and the end position. Observed phenomenon of negativism: the patient either did not perform required - pa-ssivny negativism) or actively resists, acts the opposite of what was required of him (active negativism). In response to show the language of the patient impacts the lips, turns away from him to shake his outstretched hand and removes his hand behind his back, turns away from the set before him a plate of food, resist trying to feed him, but missing the plate and pounces on the food when you try to remove it from the table. Pavlov considered it an expression of phase states in the central nervous system and tied with negativism ultraparadoxical phase. When the paradoxical phase of weaker stimuli can cause more severe reactions. Thus, patients do not respond to questions asked by the usual loud voice, but respond to the questions posed in a whisper. At night, when the flow of impulses in the central nervous system from the outside decreases sharply, some stuporoznye disinhibited patients begin to move quietly, answer questions, eat, wash, with the onset of the morning and an increase in the intensity of stimulation numbness returned. In patients with stupor may not be another symp-tomatiki, but often there are hallucinations, delusional interpretation of the surrounding. It turns out when released, the patient. Depending on the nature of the leading symptoms, there are three kind of stupor: 1) the phenomena of waxy flexibility, 2), negativistic, and 3) with muscle numbness. The above options are not separate disorders, but represent a stage stuporoznogo syndrome, replacing one another in sequence with the worsening of the patient. Catatonic excitement - mindless, undirected, and sometimes assumes the character of the engine. Movement of the patient are monotonous and are essentially subcortical hyperkinesia, possibly aggressive, impulsive actions, echopraxia, negativism. The facial expression is often not the poses, sometimes there paramimiya: mimics top of the face expresses the joy, laughing eyes and the mouth angry, teeth clenched, his lips tightly compressed, and vice versa.

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