功能性滴答和类似滴答的行为
Abdullah A Alruwaita1, Anthony E Lang2, Christos Ganos2
1Edmond J. Safra Program in Parkinson's Disease and the Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital, Toronto, ON, Canada; Neurology Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Handbook of clinical neurology
|February 3, 2026
概括
功能性,一种功能性运动障碍,已经显著增加,特别是在COVID-19大流行期间. 研究正在推进诊断标准和多学科治疗这些复杂的状行为.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
背景情况:
- 功能性滴答和类似滴答的行为是功能性运动障碍的一部分.
- 历史上不常见的功能性滴滴障碍在过去十年中在报告的病例中出现了显著的增加,在COVID-19大流行期间达到顶峰.
- 这种增长带来了诊断和治疗的挑战,同时推动了研究,以更好地了解临床和标准.
研究的目的:
- 提供神经发育与功能性滴答辩的历史概述.
- 审查有关功能性滴答和滴答类行为的文献,详细说明它们的关键特征.
- 讨论功能性的诊断和治疗方法.
主要方法:
- 文献综述追踪功能性滴答和类似滴答的行为.
- 分析突出的临床特征,发病,症状变异性和并发症.
- 讨论神经生理学评估技术和管理策略.
主要成果:
- 功能性滴答经常出现急性发作,严重的症状,复杂的行为和可变性,通常在青春晚期/成年早期.
- 共同特征包括含有骂词/句子的发音,自发缓解,并与其他功能神经系统症状 (如震或) 重叠.
- 神经生理学标记 (例如,Bereitschaftspotential) 可能有助于在具有挑战性的病例中进行诊断.
结论:
- 准确的诊断对于管理功能性动作至关重要,往往需要多学科的方法.
- 认知行为疗法和综合性行为干预对于Tics是有益的,以及管理精神病的并发症.
- 由于缺乏标准化的治疗方案,个性化护理计划是最有效的.
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