Journal of Korean Geriatric Psychiatry

노인정신의학

pISSN 1226-6329 / eISSN 2733-4600


노인정신의학

대한노인정신의학회 (4권2호 194-198)

Cognitive Impairment and Flashbacks in an Abstinent Methylenedioxymethamphetamine User

Methylenedioxymethamphetamine 금단 환자에서 인지장애와 Flashback

전진숙(Jin-Sook Cheon)

Abstract

A case of methylenedioxymethamphetamine(MDMA)-dependent patient, who showed brief flashbacks, mild cognitive impairment and depression after the cessation of MDMA, were reported and its' related references were reviewed. The flashbacks were consisted of spontaneous recurrences of somatic symptoms such as tachycardia, palpitation, tremor, sweating, increased blood pressure which reflected sympathetic activation, trismus, headache, insomnia, bruxism and nightmares as well as behavioral symptoms such as aggressiveness, perceptual disturbances, paranoid ideation, feelings of closeness with others and anxiety, etc. Thereafter, mild cognitive impairments including reduced attention, concentration, visuospatial ability, uncued recall and verbal fluency were persisted with mild depression.

Keywords

교감신경활성,불안증,인지장애,우울증, Methylenedioxymethamphetamine,Flashback,Sympathetic activation,Anxiety,Cognitive impairment,Depression,FI-ashback