Department of Clinical Neurosciences, University of Edinburgh, Western General Hospital, Crewe Road, Edinburgh EH4 2XU, UK.
Neurol Clin. 2011 Feb;29(1):1-18, vii. doi: 10.1016/j.ncl.2010.10.011.
Neurologic symptoms such as weakness or abnormal movements that are inconsistent and incongruent with neurologic disease can be described as functional, psychogenic, nonorganic, conversion, or dissociative symptoms. These symptoms often represent a clinical dilemma and a challenge for the clinician. This article provides practical advice on making an accurate diagnosis, options for explaining the diagnosis to the patient, and considering further treatment.
神经症状,如与神经疾病不一致且不协调的无力或异常运动,可被描述为功能性、心因性、非器质性、转换或分离症状。这些症状常常代表了临床的困境和对临床医生的挑战。本文就如何做出准确的诊断、向患者解释诊断的选择以及考虑进一步的治疗提供了实用建议。