機能性/離散性発作:ILAEタスクフォースによる新しい診断ラベルと定義の提案

Coraline Hingray^1,2, Stoyan Popkirov³, Kasia Kozlowska^4,5,6

¹Université de Lorraine, Centre national de la recherche scientifique, Ingénierie Moléculaire, Cellulaire et Physiopathologie, Nancy, France.

Epilepsia

|August 30, 2025

まとめ

国際抗連盟は,混乱を軽減し,研究を改善するために,心理的非発作 (PNES) の新しい統一された用語として"機能的/解離性発作" (FDS) を提案しています.

科学分野:

神経科学
精神科
医学用語

背景:

"精神性非性発作" (PNES) という用語は,受け入れられ,有効性が問われている.
専門家の間で混乱を引き起こし,研究とサービスの開発を妨げています.

研究の目的:

以前はPNESと表記されていた押収に関する統一的で統合的な用語案を提案する.
研究と臨床実践を促進するための標準化された診断ラベルの必要性を解決する.

主な方法:

経験のある専門家,臨床医,研究者,患者支援グループを含むタスクフォースとワークショップを招集した.
既存の文献,学術的洞察,臨床経験,国際分類システムをレビューした.
PNESとして一般的にラベル付けされた押収の分類と分類が議論されました.

主要な成果:

国際性病同盟 (ILAE) のタスクフォースは"機能性/離散性発作" (FDS) という新しい用語を提案している.
"機能的/離散的"という二重の特徴は,患者のプロファイルと状況に基づいて臨床医に柔軟性を与えます.
科学的執筆には"FDS"という略が推奨される.

結論:

提案された"機能性/離散性発作" (FDS) という用語は,これらのイベントの診断と議論の明確さと一貫性を高めることを目的としています.
この新しい用語はよりよい研究資金,サービス開発,患者ケアをサポートします.
"FDS"の柔軟性は,さまざまな臨床的,文化的,言語的要因に対応しています.

キーワード:

分離性障害機能神経疾患神経学ノメンクラート精神科

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