Hyperkinetischer Mutismus innerhalb des Rahmens der Bewußtseinsstörung bei einem Fall von Systematischem Lupus erythematodes

Abstract

A thirty‐year‐old housewife, who had been diagnosed as SLE, had been hyperkinetic and mute for 13 months after reiteration of manic‐depressive episodes. In this condition she waked around without aim, ate and drank only with nursing help, and could not understand the circumstances around her; she was incontinent of urine and feces. Serological examination did not show any abnormal results during psychic ex acerbation. She recovered dramatically by electroconvulsive therapy, and was completely amnestic about the past 15 months. Because her mental state was considered to be limited consciousness, it might be possible that her hyperkinetic and mute state is situated between twilight state and akinetic mutism.