[巴马科的非性精神病发作的医院频率]
Gaoussou Keita1, Joseph Traoré1, Souleymane Papa Coulibaly1,2,3
1Département de Psychiatrie, Centre Hospitalier Universitaire Point G, Bamako, Mali.
The Pan African medical journal
|June 27, 2024
概括
在没有视频脑电图的情况下诊断生理性非发作是具有挑战性的. 这项研究发现,住院频率为26.68%,这表明,经过仔细评估,可以进行假设诊断.
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:
- 在没有视频电脑电图 (vEEG) 的情况下,诊断心理非发作 (PNES) 是具有挑战性的.
- 国际抗联盟提出了一种诊断方法,用于与或没有vEEG.
- 这项研究的目的是确定在没有vEEG的情况下PNES的医院频率.
研究的目的:
- 在没有视频EEG的情况下,确定心理非发作 (PNES) 的医院频率.
- 评估假设PNES诊断的可行性,没有VEEG.
主要方法:
- 患者和两个正常的间接EEG的回顾性分析 (2020年1月至2021年10月).
- 纳入标准:针对的患者随访,EEG正常.
- 通过医疗记录审查评估的诊断有效性.
主要成果:
- 在64名被评估的患者中,有19名 (26.68%) 被诊断为PNES.
- 患者的平均年龄为23.94岁;68.4%是女性.
- 常见的相关因素包括童年创伤 (47.4%),先前的压力事件 (47.36%) 和PTSD (73.7%).
结论:
- 在没有视频EEG的情况下,可以对心理非发作进行推定诊断.
- 患者的正常EEG发现值得考虑PNES.
- 诊断PNES应考虑临床病史,包括创伤和精神病相关疾病.
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