心理非发作在分娩女性:一个案例报告
Alexandria Sobczak1, Randy Felber1, Alyson Skelly1
1Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, USA.
Cureus
|September 19, 2024
概括
心理非发作 (PNES) 在分娩期间不常见,但可以模仿发作. 这份案例报告强调了在患有类似发作的活动的分娩女性中考虑PNES的重要性.
科学领域:
- 神经学 神经学
- 产科 产科 产科 产科 产科
- 精神病学是一个精神病学.
背景情况:
- 精神性非发作 (PNES) 是具有运动和感官障碍的类似发作事件,通常与精神疾病有关.
- PNES通常是排除的诊断,并且很少在怀孕或分娩期间观察到.
- 缺席发作的特点是着眼睛的发作,可以被PNES模仿.
研究的目的:
- 介绍一个生育期女性精神病原性非发作病例.
- 为了说明PNES模仿发作或缺席发作的潜力.
- 强调在分化诊断中考虑PNES对于患有类似发作的分娩女性的重要性.
主要方法:
- 一个26岁的劳动女性的病例报告.
- 在分娩期间临床观察类似发作的发作.
- 考虑到和PNES的差异诊断.
主要成果:
- 患者在分娩期间经历了多次心理发作.
- 类似发作的发作模仿了缺席发作.
- 在诊断中考虑了PNES.
结论:
- 精神性非发作可以在分娩期间出现,并模仿其他类型的发作.
- 临床医生应该考虑PNES在分化诊断的劳动女性与类似活动.
- 及时诊断和管理潜在原因,以及认知行为疗法,对于PNES治疗至关重要.
相关概念视频
Seizures: Classification
307
Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
307
Arteries of the Lower Limbs
181
Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
181
Local Anesthetics: Clinical Application as Epidural Anesthesia
421
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
421


