脑震荡后持续的症状和功能神经障碍:交叉点
Adriano Mollica1,2, Michael Dedominicis3, Noah D Silverberg4,5,6
1Department of Psychiatry, Neuropsychiatry Program, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
Seminars in neurology
|December 3, 2025
概括
脑震荡后持续症状 (PSaC) 和功能神经障碍 (FND) 分享重叠的特征. 将FND原则纳入脑震荡护理可以改善诊断和个性化患者康复途径.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 康复医学 康复医学 康复医学
背景情况:
- 脑震荡 (PSaC) 和功能神经障碍 (FND) 后的持续症状带来了复杂的临床挑战.
- 异质呈现和分散的护理途径使PSaC和FND的管理复杂化.
研究的目的:
- 审查PSaC和FND之间的交叉点.
- 为诊断和管理患有PSaC和FND重叠特征的患者提供指导.
- 探索如何整合FND原则可以提高脑震荡护理.
主要方法:
- 文献综述侧重于病理生理学,疾病信仰,康复和PSaC和FND的治疗方法.
- 对适用于这两种情况的诊断和管理策略的分析.
- 检查影响康复的心理社会因素.
主要成果:
- 确定了病理生理学,疾病信念和康复模型的交叉点.
- 提供了关于PSaC和FND差异诊断,病史记录,检查和沟通的指导.
- 突出了患者期望和医疗保健互动对康复的影响.
结论:
- 将FND原则纳入脑震荡护理可以导致更准确的病例表述.
- 通过将FND管理策略应用于PSaC,可以支持个性化康复途径.
- 对共同特征的更好理解可以增强两种疾病的临床实践.
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