功能神经症状障碍:一个持续的难题为外科外科医生
Phillip Chin1, Sangeeta Kumaraswami1
1Anesthesiology, New York Medical College/Westchester Medical Center, Valhalla, USA.
Cureus
|August 18, 2023
概括
功能神经症状障碍 (FNSD) 可以在麻醉后表现为新的神经缺陷. 早期诊断和支持性治疗对于患者从这种不常见的疾病中恢复至关重要.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
背景情况:
- 功能神经症状障碍 (FNSD),也称为功能神经障碍 (FND),呈现出由潜在的神经病理学无法解释的神经症状.
- 由于病因中立性,FNSD/FND术语比转化障碍更受青.
- 麻醉和手术程序越来越被认为是FNSD的潜在触发因素.
研究的目的:
- 报告一个新出现的术后神经缺陷病例,诊断为FNSD.
- 提高对FNSD作为麻醉后潜在并发症的认识.
- 讨论FNSD提出的机制和管理策略.
主要方法:
- 一个病人的病例报告经历了全身麻醉后新出现的术后神经缺陷.
- 通过综合的神经,代谢和精神病学评估排除有机病理.
- 根据临床表现和排除其他原因来诊断FNSD.
主要成果:
- 一名患者在经过无事件的全身麻醉后,在术后无法移动四肢.
- 有机原因被排除在外,导致FNSD诊断.
- 手术后四周,有人使用步行器进行了有限的行走.
结论:
- 麻醉可以通过非活性,离散效应或通过唤起过去的创伤来触发FNSD.
- 在FNSD患者中,焦虑和抑郁等精神病并发症很常见.
- 术前查和诚实,支持性管理对于FNSD患者至关重要.
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