在COVID-19的后急性后果和功能神经系统疾病之间划界线:一个令人畏惧的临床重叠还是无关紧要的问题?
Paulo M G Sales1, Melissa J Greenfield1, Aaron Pinkhasov2
1Department of Psychiatry and Behavioral Neurobiology, The University of Alabama at Birmingham, Birmingham, Alabama.
The Journal of nervous and mental disease
|November 28, 2023
概括
后COVID疾病 (PASC) 和功能神经障碍 (FND) 分享重叠的症状. 本次审查将它们区分开来,并为COVID-19幸存者提出了一个多学科的治疗框架.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 精神病学是一个精神病学.
背景情况:
- 由SARS-CoV-2引起的COVID-19呈现急性症状,并可能导致SARS-CoV-2感染 (PASC) 的长期后急性后果.
- 功能神经障碍 (FND) 涉及改变自愿运动或感官功能的症状,其其它疾病无法解释.
- 无论是PASC还是FND,都会对受影响的个体造成严重的痛苦和功能障碍.
研究的目的:
- 审查有关COVID-19幸存者的PASC和FND重叠症状和区别的文献.
- 为PASC和FND的复杂表现开发一个治疗框架.
主要方法:
- 文献综述总结了PASC与FND的重叠性质和歧视.
- 基于经过审查的文献,制定治疗框架.
主要成果:
- 帕斯克和FND表现出重叠的症状,需要仔细区分,以进行适当的管理.
- 跨学科的方法对于解决这些复杂的重叠陈述的独特领域至关重要.
结论:
- 建议在PASC和/或FND的COVID-19幸存者中进行功能康复,以整合身体和心理干预的量身定制的多学科治疗计划.
- 个性化治疗计划应侧重于功能康复,以满足患有PASC和FND的患者的特殊需求.
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