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心理性非癫痫性发作与心理性运动障碍:同一硬币的两面?

Psychogenic nonepileptic seizures and psychogenic movement disorders: two sides of the same coin?

作者信息

Paola Luciano De, Marchetti Renato L, Teive Hélio Afonso Ghizoni, LaFrance W Curt

机构信息

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.

出版信息

Arq Neuropsiquiatr. 2014 Oct;72(10):793-802. doi: 10.1590/0004-282x20140111.

DOI:10.1590/0004-282x20140111
PMID:25337733
Abstract

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.

摘要

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。

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Socioemotional self- and co-regulation in functional seizures: comparing high and low posttraumatic stress.功能性癫痫中的社会情感自我调节与共同调节:创伤后应激水平高低的比较
Front Psychiatry. 2023 May 15;14:1135590. doi: 10.3389/fpsyt.2023.1135590. eCollection 2023.
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Management of Functional Seizures and Functional Movement Disorder: A Cross-Sectional Comparative Study.功能性癫痫发作与功能性运动障碍的管理:一项横断面比较研究。
Neuropsychiatr Dis Treat. 2022 Sep 21;18:2121-2131. doi: 10.2147/NDT.S383552. eCollection 2022.
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Functional movement disorder and functional seizures: What have we learned from different subtypes of functional neurological disorders?
功能性运动障碍和功能性癫痫:我们从功能性神经障碍的不同亚型中学到了什么?
Epilepsy Behav Rep. 2021 Nov 26;18:100510. doi: 10.1016/j.ebr.2021.100510. eCollection 2022.
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Clinical Approaches to Psychogenic Nonepileptic Seizures.精神性非癫痫性发作的临床治疗方法。
Focus (Am Psychiatr Publ). 2016 Oct;14(4):422-431. doi: 10.1176/appi.focus.20160020. Epub 2016 Oct 7.
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Psychogenic Nonepileptic Seizures (PNES) as a Network Disorder - Evidence From Neuroimaging of Functional (Psychogenic) Neurological Disorders.作为一种网络障碍的心理性非癫痫性发作(PNES)——来自功能性(心理性)神经障碍神经影像学的证据
Epilepsy Curr. 2018 Jul-Aug;18(4):211-216. doi: 10.5698/1535-7597.18.4.211.