功能神经障碍在急诊室的频率和特征
Kay Hellwig1, Benedikt Frank1, Rosa Michaelis1,2,3
1Department of Neurology and Center for Translational Neuro- and Behavioral Sciences (C-TNBS), University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Journal of neurology
|September 22, 2025
概括
功能神经障碍 (FND) 在急诊室很常见,但诊断代码往往低估了它们的患病率. 对于这些神经系统表现,需要改进识别和护理途径.
科学领域:
- 神经学 神经学
- 紧急医疗 紧急医疗
- 精神病学是一个精神病学.
背景情况:
- 功能神经障碍 (FND) 很普遍,但在紧急情况下往往被忽视.
- 仅仅是诊断编码 (ICD-10 F44,F45) 可能低估了FND的流行率和医疗影响.
研究的目的:
- 评估FND在成人神经急诊室 (ED) 呈现的频率和特征.
- 使用混合案例寻找策略,结合关键字搜索和手动审查.
主要方法:
- 追溯分析5504个神经障碍在2023年在高等大学医院出现的神经障碍.
- 在184,279个ED文档条目中进行全文关键字搜索,然后进行手动审查.
- 包括来自神经系统住院病人的出院记录中的病例.
主要成果:
- 确定了199例FND病例 (3.6%的神经性ED呈现).
- 患者的中位年龄为33岁,女性为71%;功能性发作 (54%) 和运动/感觉缺陷 (21%) 是最常见的.
- 只有39%的ED释放的FND病例获得了F44或F45代码,突出显示了代码.
结论:
- FND是神经紧急情况的常见原因.
- 对诊断码的依赖低估了FND的流行率,需要改进识别.
- 提高诊断清晰度和结构化的护理途径对于紧急情况下的FND至关重要.
更多相关视频
10:23Equipment Setup and Artifact Removal for Simultaneous Electroencephalogram and Functional Magnetic Resonance Imaging for Clinical Review in Epilepsy
Published on: June 23, 2023
2.6K
04:04Transauricular Vagus Nerve Stimulation and Electroencephalographic Assessment in Disorders of Consciousness
Published on: July 11, 2025
1.4K
相关概念视频
01:29Dysrhythmias III: Characteristics of Dysrhythmias
422
Dysrhythmias, also known as arrhythmias, are irregular heart rhythms that result from abnormal electrical activity in the heart, affecting its ability to circulate blood efficiently. Tachyarrhythmias, a subset of dysrhythmias, are characterized by abnormally fast heart rates exceeding 100 beats per minute. Here are some types of tachyarrhythmias with their distinct ECG features:Sinus Tachycardia:Sinus tachycardia presents a regular heart rhythm with an increased rate of 101-180 beats per...
422
01:28Disorders of the Nervous Tissue
2.5K
Nervous tissue is a vital component of the human body's communication system, enabling us to perceive and respond to stimuli. However, like all other tissues, it is vulnerable to disorders and diseases that can significantly impact our neurological functioning.
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises from the...
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises from the...
2.5K
01:13Seizures: Classification
1.4K
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:
1.4K