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功能性神经障碍:一例丧亲后的心身性瘫痪病例。

Functional Neurological Disorder: A Case of Psychosomatic Paralysis Following Bereavement.

作者信息

Luba Joseph T, Woo Benjamin Kp

机构信息

Psychiatry, Western University of Health Sciences, Pomona, USA.

Psychiatry, Olive View-University of California, Los Angeles (UCLA) Medical Center, Los Angeles, USA.

出版信息

Cureus. 2025 Jan 28;17(1):e78146. doi: 10.7759/cureus.78146. eCollection 2025 Jan.

DOI:10.7759/cureus.78146
PMID:40018486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11867705/
Abstract

Functional neurologic disorder (FND), alternatively known as conversion disorder, presents a unique diagnostic challenge due to its complex interplay of psychological, neurobiological, and social factors. This complexity is particularly evident in patients who experience significant psychological stressors, which may trigger or exacerbate symptoms. The following case report describes a 36-year-old woman who developed FND following the death of her father. This case highlights the diagnostic complexities of FND, particularly in patients with a prior psychiatric diagnosis. It underscores the importance of addressing the psychological factors underlying physical symptoms in such presentations.

摘要

功能性神经障碍(FND),又称转换障碍,由于其心理、神经生物学和社会因素之间复杂的相互作用,带来了独特的诊断挑战。这种复杂性在经历重大心理压力源的患者中尤为明显,这些压力源可能引发或加重症状。以下病例报告描述了一名36岁女性,在其父亲去世后患上了功能性神经障碍。该病例突出了功能性神经障碍的诊断复杂性,尤其是在有既往精神科诊断的患者中。它强调了在此类病例中处理身体症状背后心理因素的重要性。

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Functional Neurological Disorder-Old Problem New Perspective.功能性神经障碍:老问题,新视角。
Int J Environ Res Public Health. 2023 Jan 8;20(2):1099. doi: 10.3390/ijerph20021099.
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Functional neurological disorder: new subtypes and shared mechanisms.功能性神经障碍:新亚型和共同机制。
Lancet Neurol. 2022 Jun;21(6):537-550. doi: 10.1016/S1474-4422(21)00422-1. Epub 2022 Apr 14.
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Diagnosis and management of functional neurological disorder.功能性神经障碍的诊断与治疗。
BMJ. 2022 Jan 24;376:o64. doi: 10.1136/bmj.o64.
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The relationship between types of life events and the onset of functional neurological (conversion) disorder in adults: a systematic review and meta-analysis.成人生活事件类型与功能性神经(转换)障碍发病的关系:系统评价和荟萃分析。
Psychol Med. 2022 Feb;52(3):401-418. doi: 10.1017/S0033291721004669. Epub 2021 Nov 25.
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A Review and Expert Opinion on the Neuropsychiatric Assessment of Motor Functional Neurological Disorders.运动功能神经障碍的神经精神评估的综述和专家意见。
J Neuropsychiatry Clin Neurosci. 2021 Winter;33(1):14-26. doi: 10.1176/appi.neuropsych.19120357. Epub 2020 Aug 11.
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Negative Symptoms in Schizophrenia: A Review and Clinical Guide for Recognition, Assessment, and Treatment.精神分裂症的阴性症状:识别、评估及治疗的综述与临床指南
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Current Concepts in Diagnosis and Treatment of Functional Neurological Disorders.当前功能性神经障碍的诊断与治疗理念。
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