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表现为头部震颤的功能性神经症状障碍:一例罕见病例报告

Functional Neurological Symptom Disorder Presenting as Head Titubation: A Rare Case Report.

作者信息

Nehete Tejas, Raut Sarang S, Khurana Kashish, Acharya Sourya, Kumar Sunil

机构信息

General Medicine, Jawaharlal Nehru Medical College, Wardha, IND.

出版信息

Cureus. 2024 Jun 12;16(6):e62248. doi: 10.7759/cureus.62248. eCollection 2024 Jun.

DOI:10.7759/cureus.62248
PMID:39011210
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11247254/
Abstract

Functional neurological symptom disorder (FND), previously known as conversion disorder, is a condition identified by neurological symptoms that cannot be explained by neurological disease or other medical conditions. FND typically presents with speech disturbances, visual disturbances, paralysis, somatic symptoms like myalgia, and chronic fatigue. This case report describes a case of a 44-year-old female, who presented with dysmenorrhea and had undergone total abdominal hysterectomy with bilateral salpingectomy and manifested as head titubation which was a conversion reaction. On evaluation, it was revealed that the patient had chronic depression and pain. This case report highlights a rare presentation of FND.

摘要

功能性神经症状障碍(FND),以前称为转换障碍,是一种由神经症状所确定的疾病,而这些神经症状无法用神经疾病或其他医学状况来解释。FND通常表现为言语障碍、视觉障碍、瘫痪、诸如肌痛等躯体症状以及慢性疲劳。本病例报告描述了一名44岁女性的病例,该女性患有痛经,已接受全腹子宫切除术及双侧输卵管切除术,并表现为头部震颤,这是一种转换反应。经评估,发现该患者患有慢性抑郁症和疼痛。本病例报告突出了FND一种罕见的表现形式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f254/11247254/699916b3edc2/cureus-0016-00000062248-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f254/11247254/699916b3edc2/cureus-0016-00000062248-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f254/11247254/699916b3edc2/cureus-0016-00000062248-i01.jpg

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本文引用的文献

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Functional Neurological Disorder Responds Favorably to Interdisciplinary Rehabilitation Models.功能性神经障碍对跨学科康复模式反应良好。
Psychosomatics. 2019 Nov-Dec;60(6):556-562. doi: 10.1016/j.psym.2019.07.002. Epub 2019 Jul 10.
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心理和康复方法在癌症疼痛管理中被低估的作用。一篇简短评论。
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