模仿发作的离散性发作:在异常眼动的情况下,诊断挑战
Shimin Bao1,2, Caleb Onyenaturuchi Egbuta1, Jinmei Li3
1Department of Neurology, West China Hospital, Sichuan University, Chengdu, 610041, China.
Acta epileptologica
|April 11, 2025
概括
分离性 (DS) 可以模仿,导致误诊. 视频脑电图 (VEEG) 和心理评估对于早期区分和最佳患者结果至关重要.
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:
- 分离性发作 (DS) 或心理非性发作 (PNES) 经常被误诊为性发作 (ES).
- 非典型的表现,如眼神危机 (OGC) 类似的发作,使诊断复杂化.
- 错误诊断可能导致不适当的治疗和延迟适当的护理.
研究的目的:
- 突出非典型的DS呈现的诊断挑战.
- 强调视频脑电图 (VEEG) 在区分DS与ES方面的作用.
- 强调早期和准确诊断的重要性,以优化患者的治疗结果.
主要方法:
- 一个16岁男性的病例介绍,他患有反复复发的非典型发作.
- 包括神经成像和VEEG在内的全面调查.
- 心理评估和随后的治疗与塞特拉林和认知行为疗法.
主要成果:
- 患者的发作最初被误诊为和自身免疫性脑炎.
- VEEG没有显示出型活动,支持了DS的诊断.
- 患者在接受精神病治疗后经历了显著改善.
结论:
- 非典型的DS呈现带来了重大的诊断挑战.
- 为了准确区分,VEEG和精神病学评估至关重要.
- 早期识别和管理DS可以防止治疗延迟,并改善患者的治疗结果.
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