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急性住院环境中采用心理行为方法对功能性神经障碍进行多学科康复:一例报告。

Multidisciplinary rehabilitation for functional neurological disorder using psychobehavioral approaches in acute inpatient setting: A case report.

作者信息

Zheng YuanDian, Kim Taesung, Takeyama Yoshiki, Rossert Etienne B, Lai Yu Jen

机构信息

Department of Family Medicine, Nassau University Medical Center, East Meadow, NY, USA.

Department of Physical Medicine and Rehabilitation, Stony Brook University, NY, USA.

出版信息

SAGE Open Med Case Rep. 2025 Jun 13;13:2050313X251348413. doi: 10.1177/2050313X251348413. eCollection 2025.

Abstract

The role of acute inpatient rehabilitation is pivotal in the treatment of functional neurological disorders, offering a multidisciplinary approach to a condition often challenging to diagnose and manage. This case report discusses a 44-year-old right-handed male with complex past medical histories of Bell's palsy, cholesteatomas, hearing impairment, coronary artery disease, cavernoma, hypertriglyceridemia, glaucoma, hypertension, hyperlipidemia, parotitis, psoriasis, seizure, and tremors transferred to our rehabilitation service with presented functional neurological disorder symptoms. The patient's treatment emphasized an acute comprehensive rehabilitative intervention with psychobehavioral approaches, focusing on both physical symptoms and psychological aspects of the condition. This case illustrates the effectiveness of acute rehabilitative care in functional neurological disorders, highlighting the significance of early intervention and a holistic treatment approach in improving prognosis and overall quality of life for patients with functional neurological disorders.

摘要

急性住院康复在功能性神经障碍的治疗中起着关键作用,为这种通常难以诊断和管理的疾病提供了多学科治疗方法。本病例报告讨论了一名44岁的右利手男性,他有贝尔氏面瘫、胆脂瘤、听力障碍、冠状动脉疾病、海绵状血管瘤、高甘油三酯血症、青光眼、高血压、高脂血症、腮腺炎、银屑病、癫痫和震颤等复杂的既往病史,因出现功能性神经障碍症状而转入我们的康复科。患者的治疗重点是采用心理行为方法进行急性综合康复干预,同时关注身体症状和疾病的心理方面。本病例说明了急性康复护理在功能性神经障碍中的有效性,强调了早期干预和整体治疗方法对改善功能性神经障碍患者的预后和整体生活质量的重要性。

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本文引用的文献

1
Economic Cost of Functional Neurologic Disorders: A Systematic Review.功能性神经疾病的经济成本:系统评价。
Neurology. 2023 Jul 11;101(2):e202-e214. doi: 10.1212/WNL.0000000000207388. Epub 2023 Jun 20.
3
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.
6
Functional neurological disorder in the emergency department.急诊科的功能性神经障碍。
Acad Emerg Med. 2021 Jun;28(6):685-696. doi: 10.1111/acem.14263. Epub 2021 May 6.

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