Paola Luciano De, Marchetti Renato L, Teive Hélio Afonso Ghizoni, LaFrance W Curt
Serviço de Neurologia, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, PR, Brazil.
Instituto de Psiquiatria, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, Sao Paulo, SP, Brazil.
Arq Neuropsiquiatr. 2014 Oct;72(10):793-802. doi: 10.1590/0004-282x20140111.
Psychogenic nonepileptic seizures (PNES) and psychogenic movement disorders (PMD) are commonly seen in Neurology practice and are categorized in the DSM-5 as functional neurological disorders/conversion disorders. This review encompasses historical and epidemiological data, clinical aspects, diagnostic criteria, treatment and prognosis of these rather challenging and often neglected patients. As a group they have puzzled generations of neurologists and psychiatrists and in some ways continue to do so, perhaps embodying and justifying the ultimate and necessary link between these specialties.
心理性非癫痫性发作(PNES)和心理性运动障碍(PMD)在神经病学临床实践中较为常见,在《精神疾病诊断与统计手册》第5版(DSM - 5)中被归类为功能性神经障碍/转换障碍。这篇综述涵盖了这些颇具挑战性且常被忽视的患者的历史和流行病学数据、临床特征、诊断标准、治疗及预后。作为一个群体,它们困扰了几代神经科医生和精神科医生,并且在某些方面仍在继续,或许体现并证明了这两个专业之间最终且必要的联系。