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伪装成多发性硬化症的转换障碍(功能性神经症状障碍):一例报告

Conversion Disorder (Functional Neurological Symptom Disorder) Masquerading as Multiple Sclerosis: A Case Report.

作者信息

Ozdemir Derman, Sahni Sonu

机构信息

Internal Medicine, Saba University School of Medicine, Brooklyn, USA.

Internal Medicine, Brookdale University Hospital Medical Center, New York, USA.

出版信息

Cureus. 2019 Jun 13;11(6):e4893. doi: 10.7759/cureus.4893.

DOI:10.7759/cureus.4893
PMID:31423372
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6689484/
Abstract

Conversion disorder, also referred to as functional neurological symptom disorder, is a DSM-5 identified somatic disorder that presents with one or more neurological symptoms that does not clinically correlate with recognized neurological or medical conditions brought on by intense stress, emotions, or an associated psychiatric disorder. Multiple sclerosis (MS) is the most common immune-mediated inflammatory demyelinating disease of the central nervous system and usually presents in young adults with clinical manifestations that range from cognitive abnormalities, eye movement problems, motor and sensory impairments such as weakness and numbness, bowel/bladder dysfunction, fatigue, and/or pain. This case report presents a patient with functional neurological symptom disorder presenting with clinical signs associated with MS.

摘要

转换障碍,也被称为功能性神经症状障碍,是一种《精神疾病诊断与统计手册》第五版(DSM - 5)认定的躯体疾病,其表现为一种或多种神经症状,这些症状在临床上与由强烈应激、情绪或相关精神障碍引发的公认神经或医学状况不相关。多发性硬化症(MS)是中枢神经系统最常见的免疫介导性炎性脱髓鞘疾病,通常在年轻人中出现,临床表现包括认知异常、眼球运动问题、运动和感觉障碍(如无力和麻木)、肠道/膀胱功能障碍、疲劳和/或疼痛。本病例报告展示了一名患有功能性神经症状障碍且伴有与多发性硬化症相关临床体征的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f33d/6689484/ab116abe35b3/cureus-0011-00000004893-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f33d/6689484/fa4579b84978/cureus-0011-00000004893-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f33d/6689484/3ef313353dc8/cureus-0011-00000004893-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f33d/6689484/ab116abe35b3/cureus-0011-00000004893-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f33d/6689484/fa4579b84978/cureus-0011-00000004893-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f33d/6689484/3ef313353dc8/cureus-0011-00000004893-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f33d/6689484/ab116abe35b3/cureus-0011-00000004893-i03.jpg

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Lhermitte's Sign: The Current Status.莱尔米特征:当前现状
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