Treatment of a patient with central sensitivity syndrome suffering from pain and confusion by psychogenic polydipsia: a case report

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  • ストレス時の多飲による意識障害と全身痛を主症状とする中枢感作性症候群の治療経験
  • 症例 ストレス時の多飲による意識障害と全身痛を主症状とする中枢感作性症候群の治療経験
  • ショウレイ ストレスジ ノ タイン ニ ヨル イシキ ショウガイ ト ゼンシンツウ オ シュ ショウジョウ ト スル チュウスウ カンサセイ ショウコウグン ノ チリョウ ケイケン

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Abstract

A-68-year old woman, who has been suffering from pain, hyponatremia, and confusion by psychogenic polydipsia, restless legs syndrome, irritable bowel syndrome, and insomnia for several years, came to our institution. We carefully heard her detailed story and provided her substantial relief. Subsequently, we diagnosed her central sensitivity syndrome (CSS), including fibromyalgia and treated it with pharmacological and cognitive behavioral therapy. Complains in patients with CSS or fibromyalgia are multifactorial and not fully explained medically. However, pain clinicians have roles to diagnose and manage those disorders. We described the effects of narrative therapy and pharmacological and cognitive behavioral therapy.

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