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脑震荡后出现的功能神经障碍:回顾一系列病例

Ginger Polich¹, Gaston Baslet¹, Mary Angela O'Neal¹

¹Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Boston (Polich); Departments of Physical Medicine and Rehabilitation (Polich), Psychiatry (Baslet, Raynor), and Neurology (O'Neal), Brigham and Women's Hospital, Boston; Department of Psychiatry, Brigham and Women's Faulkner Hospital, Boston (Gupta); Department of Psychiatry, Naval Medical Center San Diego, San Diego (Raynor).

The Journal of neuropsychiatry and clinical neurosciences

|May 9, 2024

概括

功能神经障碍 (FND) 症状可能在脑震荡后出现,在一些患者中持续存在. 识别FND对于准确诊断至关重要,并避免强化关于脑损伤的负面信念.

科学领域:

神经学神经学
神经科学是一个神经科学.
精神病学是一个精神病学.

背景情况:

大多数脑震荡患者在几周内就会康复.
显著的少数人经历了持续的脑震荡后症状.
一些持续的症状可能表明功能神经障碍 (FND).

研究的目的:

评估持续的脑震荡后症状和FND症状之间的关系.
为了描述脑震荡后患有FND的患者.

主要方法:

50名患者的回顾性图表审查.
对人口和临床数据的分析.
确认了FND的诊断,并出现了脑震荡后的症状.

主要成果:

脑震荡后患有FND的患者往往对这两种情况都有基线风险因素.
功能神经症状的差异很大 (例如,步态,,虚弱,感觉,言语,视觉等).
脑震荡事件发生后,症状的出现可能是突然的或阴险的.

结论:

功能神经症状可以在脑震荡后发展.
在脑震荡后的神经症状的差异诊断中,FND是一个重要的考虑因素.
无法识别FND可能会对患者对脑损伤的信念产生负面影响.

关键词:

脑震荡是一种脑震荡.功能神经系统障碍功能神经系统障碍功能性发作功能性发作持续的脑震荡后症状康复 (神经精神病学)创伤性脑损伤创伤性脑损伤

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