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心因性非癲癇性發作的評估與治療。

Evaluation and Treatment of Psychogenic Nonepileptic Seizures.

机构信息

Department of Neurology, Michigan Medicine, University of Michigan, F2593 UH South, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5223, USA; Department of Psychiatry, Michigan Medicine, University of Michigan, F2593 UH South, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5223, USA.

Alpert Medical School, Brown University, Rhode Island Hospital, 593 Eddy Street, Potter 3, Providence, RI 02903-4923, USA.

出版信息

Neurol Clin. 2022 Nov;40(4):799-820. doi: 10.1016/j.ncl.2022.03.017. Epub 2022 Sep 28.

Abstract

Patients with psychogenic nonepileptic seizures (PNES) represent a distinct, challenging group among those with functional neurologic symptom (conversion) disorders and involve a complex set of symptoms and comorbidities, best evaluated and treated by a multidisciplinary team of clinicians. Multidisciplinary, collaborative care is becoming more common, using evidence-based treatment. Outpatient neurology clinics at sites not currently treating these patients hold potential for providing such a model of care, with coordination of services. Best practice care should encourage the integration of neurology and mental health professionals to improve communication among clinicians and with patients, allowing for better patient care and symptomatic outcomes.

摘要

患有精神性非癫痫性发作(PNES)的患者是功能性神经症状(转换)障碍患者中一个独特且具有挑战性的群体,涉及一系列复杂的症状和合并症,最好由多学科临床医生团队进行评估和治疗。多学科、协作式护理越来越常见,并采用基于证据的治疗方法。目前未治疗这些患者的门诊神经科诊所具有提供此类护理模式的潜力,可协调服务。最佳实践护理应鼓励神经病学和精神卫生专业人员的整合,以改善临床医生之间以及与患者之间的沟通,从而改善患者护理和症状结果。

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