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转换性步态障碍:你不能漏诊这个诊断。

Conversive gait disorder: you cannot miss this diagnosis.

作者信息

Maranhão-Filho Péricles, Silva Carlos Eduardo da Rocha E, Vincent Maurice Borges

机构信息

Departamento de Neurologia, Hospital Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro RJ, RJ, Brazil.

Departamento de Psicologia Médica, Hospital Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.

出版信息

Arq Neuropsiquiatr. 2014 May;72(5):373-7. doi: 10.1590/0004-282x20140022.

Abstract

Bizarre, purposeless movements and inconsistent findings are typical of conversive gaits. The objective of the present paper is to review some phenomenological aspects of twenty-five consecutive conversive gait disorder patients. Some variants are typical - knees give way-and-recover presentation, monoparetic, tremulous, and slow motion - allowing clinical diagnosis with high precision.

摘要

怪异、无目的的动作和不一致的表现是转换性步态的典型特征。本文的目的是回顾连续25例转换性步态障碍患者的一些现象学方面。一些变体很典型——膝盖屈伸、单瘫、震颤和动作缓慢——使得临床诊断具有很高的准确性。

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