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发作和精神性非发作的潜伏时间
Hulya Ozkan1, Meliha Turksever1, Baburhan Guldiken1
1Trakya University, School of Medicine, Department of Neurology, Edirne, Turkey.
Arquivos de neuro-psiquiatria
|July 24, 2023
概括
与发作相比,心理非发作 (PNES) 在视频电脑图监测 (VEM) 期间更早出现. 这种时间差异可以帮助区分PNES和ES.
科学领域:
- 神经学 神经学
- 临床神经生理学 临床神经生理学
背景情况:
- 心理非发作 (PNESs) 与发作 (ESs) 有半生物学上的相似之处,使得差异诊断具有挑战性.
- 长期视频电脑图监测 (VEM) 对于准确区分PNES和ES至关重要.
研究的目的:
- 调查VEM期间第一个临床事件的发病时间.
- 分析ES和PNES患者在一天中的发作时间分布.
主要方法:
- 根据年龄和性别匹配的48名PNES和51名ES患者的回顾性评估.
- 分析发作延迟 (从VEM开始到第一个事件的时间) 和每日发作发生模式.
主要成果:
- 在PNES患者中,发作的延迟时间明显较短 (p < 0.001).
- 第一次发作发生在VEM24小时内,72%的PNES患者和49.1%的ES患者 (p = 0.023).
- ES均分布,而PNES主要发生在晚上 (p = 0.011).
结论:
- 与ES相比,PNES在VEM期间倾向于更早地表现出来,并在白天时间集中.
- 发作延迟虽然不是最终的结果,但在PNES和ES的差异诊断中可能是一个有价值的参数.
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