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2 CASES OF RABBIT SYNDROME : 토끼증후군 2례
민병근,이창화,안준호,천두욱,김헌수 울산대학교 의과대학 1994 울산의대학술지 Vol.3 No.2
The application of neuroleptics to schizophrenic and other psychotic patients in the early 1950's led to the therapeutic revolution into the psychiatry, on the other hand neuroleptic-related adverse effects did frequently occur. The authors experienced 2 cases of rabbit syndrome producing by rare complication of neuroleptic medication. Two cases were examined for the rabbit syndrome by the description of Villeneuve(1972) and Sovner and DiMascio(1977). The reciprocal coordination test and the finger-tapping technique to worsen the symptoms also were applied to two patients. The authors emphasized two issues of rabbit syndrome as follows. First, though the literature search showed that the majority of patients presented with rabbit syndrome which is usually seen after a prolonged exposure to neuroleptic medication with the more potency in the middle or elderly aged are over 45 years old, we suggest that this syndrome might be linked to the younger age factor and the low potency thioridazine in our patient. Second, the rabbit syndrome is in the importance of the clinical practice because of being readily reversible with antiparkinsonian agents or anticholinergic drugs. In addition, recognizing this condition and differentiating it from tardive dyskinesia helps in the choice of the proper treatment of orofacial disorders following neuroleptic medication for the long time.
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신체형장애 환자의 통각예민도와 정신중상 및 주의집중도의 상관관계에 관한 연구
유희정,한오수,김성윤,천두욱,이철 울산대학교 의과대학 1995 울산의대학술지 Vol.4 No.2
The authors examined the correlation of pain sensitivity and somatization, anxiety, depression indices and attentional level in somatoform disorder patients under the preposition that these patients may have different pain modulatory mechanism affected by their psychiatric symptom state or cognitive function such as sustained attentional level. 18 somatoform disorder patients and 18 control subjects had taken electrical pain stimuli with NEUROSTIM T4, Type 219N stimulator and checked their level of pain sensitivity on a VAS scale. Somatization index, anxiety, depression indices were measured by SCL-90-R, objective and subjective psychological scales respectively. Attentional level were measured by Cognitrone test of Vienna neuropsychological test system. Compared to control group, the patient group showed higher somatization index and psychiatric symptom scores and lower attentional level. The pain sensitivity of the patient group was not correlated with their age, somatization, anxiety, depression indices and attentional level. But the tendency of higher correlation between 5mA electrical stimulus and objective depression index suggests that distinct correlation can be elucidated between psychiatric symptom scores and pain sensitivity if higher electrical pain stimuli were applied in future study.
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