一个关于心理非发作的最新情况
Mithila Vijay1, Markus Reuber1,2
1Department of Neurology.
Current opinion in neurology
|January 18, 2024
概括
心理非发作 (PNES) 诊断现在专注于临床特征,而不仅仅是排除. 最近的发现表明PNES是复杂的,与并发症和过早死亡有关,需要更广泛的研究.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 临床神经科学 临床神经科学
背景情况:
- 对心理非发作 (PNES) 的理解有了显著的进化.
- 最近的进展侧重于诊断转变和理解PNES异质性.
研究的目的:
- 总结过去三年对PNES的新见解.
- 突出诊断,病因学和相关并发症方面的进展.
主要方法:
- 关于PNES诊断和特征的最新文献的综述.
- 分析了关于PNES符号学,机器学习应用和患者子组的研究.
- 检查与PNES相关的并发症和死亡率的研究.
主要成果:
- 对于PNES的诊断方法已经从排除转向对临床特征的认可.
- 机器学习和人工智能显示出改善PNES诊断的潜力.
- 长期性脑脊髓炎与显著的精神和身体伴随性疾病以及增加的过早死亡有关.
结论:
- PNES被理解为网络功能障碍,解释了患者的异质性.
- 伴随性疾病和过早死亡的高率需要对非神经病理过程进行研究.
- 对PNES的全面理解需要考虑超出神经系统的因素.
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