功能神经疾病:一个全面的回顾
Lakshmi Priya Lalitha1, Purushottam T Acharya2, Mahendra Javali2
1Assistant Professor, Department of Neurology, M S Ramaiah Medical College, Bengaluru, Karnataka, India, Corresponding Author, Orcid: https://orcid.org/0000-0003-0165-5570.
具有与神经疾病不一致的症状的功能神经障碍 (FND). 使用积极的临床症状及多学科管理的早期诊断对于患者的健康至关重要.
科学领域:
- 神经学
- 神经科学
背景情况:
- 功能神经障碍 (FNDs) 涉及到由已知的神经疾病无法解释的症状.
- 从历史上看,对FND的理解已经显著发展,从超自然的归因到当前的神经电路功能障碍模型.
- 在神经病理咨询中,FND占比很大,这凸显了对准确诊断方法的需求.
研究的目的:
- 审查FND理解和术语的演变.
- 概述用于诊断各种FND亚型的关键临床症状.
- 在FND管理中强调正确诊断信号的重要性.
主要方法:
- 对功能神经障碍的历史和当前文献的审查.
- 将FND分为特定的亚型 (例如功能性四肢虚弱,,运动障碍).
- 确定和讨论每个FND亚型的关键临床诊断线索.
主要成果:
- FND包括各种表现,包括肢体功能衰弱,,运动,步态,伪同步症和认知功能障碍.
- 积极的临床症状对于确定FND诊断至关重要,不仅仅是排除诊断.
- 早期发现积极迹象有助于审慎调查和及时管理.
结论:
- 准确的FND诊断依赖于确定特定的积极临床症状.
- 一种多学科的方法,包括沟通,精神病相关疾病管理和量身定制的治疗,对于有效的FND管理至关重要.
- 对这些复杂疾病的神经电路功能障碍的持续研究正在进行中.
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