What Is a Stupor?

Stupor refers to a high level of psychomotor inhibition and often maintains a fixed posture. Severe stiffening is called deadlock. Stupidity is generally unconscious, and various reflections are preserved. The patient showed no speech, no eating, no drinking, no movement, and speech activity and motor behavior were completely inhibited. After the standoff is lifted, the patient can recall what happened during the standoff. Wooden deadlocks typically last weeks to months. Suffering from excitement, the patient suddenly develops motor excitement and impulsive behavior, with strange behaviors, sometimes stereotypes and imitations, which last for several days to several weeks, and can automatically alleviate or switch to a state of stiffness. Treatment should find the primary disease and treat the cause.

Basic Information

English name

stupor

Visiting department

Department of Psychological Medicine

Common causes

Found in organic encephalopathy, schizophrenia, depression, hysteria, and acute stress reactions

Common symptoms

Generally unconscious, preserved by various reflexes; manifested as speechlessness, no eating, no drinking, no movement, speech activity and action behavior are completely inhibited

Causes and common diseases

Stupa can be seen in organic encephalopathy, schizophrenia (especially stress type), depression, snoring psychosis, and acute stress reactions.

Stiff check

1. Check blood pressure and pulse, and perform an electrocardiogram.

2. Perform muscle tone tests, vagus nerve tests, nervous system tests, and necessary physical examinations.

Differential diagnosis of stupa

Recent insanity, severe indifference, stiffness or coma all indicate dysfunction of the cerebral hemisphere, mesencephalon or upper brainstem. Focal lesions on the cerebellar structure can extensively damage both hemispheres. Severe cerebral edema can also cause the hemispheric structure to compress the activation system of the midbrain and the midbrain, causing cerebral hernia through the cerebellar notch leading to brain stem damage. Primary subcancerous (brain stem or cerebellar) lesions can compress or directly damage the reticular structure from anywhere in the midbrain to the midbrain (through upward pressure). Metabolic or infectious diseases can inhibit the function of the cerebral hemisphere and brain stem through changes in blood composition or the presence of direct toxins. Common diseases and typical symptoms:

Hypercalcemia nephropathy

Convulsions, low-molecular-weight proteinuria, polyuria, nausea, coma, stiffness, etc.

2. Hypercalcemia

Constipation, polyuria, polydipsia, fatigue, abdominal pain, dyspnea, coma, convulsions, stiffness, dehydration, etc.

3. Conversion disorder

Convulsions, nausea, fatigue, mental disturbances caused by non-dependent substances, sensory disturbances, angular arch reflexes, stiffness, etc.

4. Post-traumatic syndrome

Ataxia, tension, increased intracranial pressure, stiffness, hydrocephalus, etc.

5. Abnormal thyroid function

Associated mental disorders include constipation, nausea, ataxia, auditory hallucinations, coma, anxiety, increased intracranial pressure, stiffness, apathy, and loss of appetite.

Stupidity treatment principle

Find the primary disease causing stiff wood and treat the cause.