Features of catatono-oneiroid paroxysms of schizophrenia manifesting in the puerperal period
Korkina, M.V.; Tsivil'ko, M.A.; Kareva, M.A.; Dovgiĭ, A.V.
Zhurnal Nevropatologii i Psikhiatrii Imeni S.S. Korsakova 83(11): 1702-1707
1983
ISSN/ISBN: 0044-4588 PMID: 6675373 Document Number: 197146
A total of 131 puerperas with manifest paroxysms of schizophrenia were examined to correlate the time- course of their psychic and somatic state (puerperal characteristics and complications). Specific features of schizophrenia in the postpartum period were disclosed. The authors analyzed the course of manifest paroxysms (patients with predominant catatono-oneiroidal symptomatology) accompanied by pyrexia associated with acute endometritis, the subclinical forms of schizophrenia and also its course during an uncomplicated puerperium and correlated the clinical picture of psychoses in the presence of fever and without it. On the basis of the results obtained a suggestion is made that the febrile reaction accompanying manifest paroxysms of schizophrenia with predominant catatono-oneiroidal symptomatology cannot be considered as a manifestation of infection or as a manifestation of the toxic course of schizophrenia, inasmuch it reflects a particular state of the whole body and the CNS in the puerperium giving rise to the manifestations of schizophrenic process.