Kola Sushma, LaFaver Kathrin
Northwestern University Feinberg School of Medicine, Department of Neurology, Chicago, IL, United States.
Saratoga Hospital Medical Group - Neurology, Saratoga Springs, NY, United States.
Epilepsy Behav Rep. 2021 Nov 26;18:100510. doi: 10.1016/j.ebr.2021.100510. eCollection 2022.
The objective of this paper is to compare and contrast FMD and FS, and highlight important differences in etiology and the clinical approach towards these two entities. While patients with FMD often experience abnormal movements on a daily basis, FS is characterized by paroxysmal events. Both patient populations share psychiatric and environmental comorbidities, but patients with FS may have increased anxiety and neuroticism and a higher percentage of childhood trauma. Functional MRI scans have demonstrated impaired executive control over motor behavior in both groups. FMD responds well to multidisciplinary rehabilitation-oriented treatment, while psychotherapy remains the mainstay of treatment for FS. For practicing clinicians, recognizing commonalities and differences in patients with FMD and FS is important to develop the most appropriate treatment plan.
本文的目的是比较和对比功能性运动障碍（FMD）和功能性抽动（FS），并突出两者在病因以及针对这两种病症的临床治疗方法上的重要差异。虽然FMD患者经常在日常生活中经历异常运动，但FS的特点是阵发性发作。这两类患者群体都存在精神和环境方面的共病情况，但FS患者可能焦虑和神经质程度更高，童年创伤的比例也更高。功能性磁共振成像扫描显示两组患者对运动行为的执行控制均受损。FMD对以多学科康复为导向的治疗反应良好，而心理治疗仍是FS治疗的主要手段。对于临床医生而言，认识到FMD和FS患者的共性与差异对于制定最合适的治疗方案很重要。
