Booij H A, Hamburger H L, Jöbsis G J, Beuerle E Y, Kruyt N D
Department of Neurology, Slotervaart Hospital, Amsterdam, The Netherlands.
Pract Neurol. 2012 Jun;12(3):179-81. doi: 10.1136/practneurol-2011-000152.
We describe two young female patients with symptoms and signs initially of conversion disorder. It became apparent, however, that both patients had a posterior circulation stroke. These cases remind us of just how broad the clinical presentation of neurological diseases is and illustrate how careful we must be in our own attributions, actions and diagnoses particularly when assessing patients with bizarre behaviour and with apparent inconsistencies on neurological examination.
我们描述了两名年轻女性患者,她们最初出现了转换障碍的症状和体征。然而,后来发现这两名患者均患有后循环中风。这些病例提醒我们,神经系统疾病的临床表现范围有多广泛,并说明我们在进行自身的归因、行动和诊断时必须多么谨慎,尤其是在评估行为怪异且神经系统检查存在明显矛盾的患者时。