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现代医学中对功能性神经障碍的重新认识。

Reframing Functional Neurological Disorders in Modern Medicine.

作者信息

Iordache Marius P

机构信息

Faculty of Medicine, Titu Maiorescu University, Bucharest, ROU.

Clinical Neurology, Ilfov County Clinical Emergency Hospital, Bucharest, ROU.

出版信息

Cureus. 2025 Jul 7;17(7):e87415. doi: 10.7759/cureus.87415. eCollection 2025 Jul.

Abstract

Functional neurological disorders (FNDs) present a unique intersection between neurology and psychiatry, encompassing a range of neurological symptoms not attributable to structural neurological diseases, often challenging traditional diagnostic and therapeutic approaches. Recent advancements have shed light on its epidemiology, pathophysiology, and management. This editorial reframes FND in light of recent advances, highlighting how evolving understanding, epidemiological insights, and emerging treatments are reshaping its status in global healthcare. The aim is to foster an integrated narrative: FND is no longer a diagnosis of exclusion but a diagnosable and potentially treatable disorder. This reframing promotes more accurate diagnosis and integrated treatment, which are essential to combating stigma and improving patient outcomes.

摘要

功能性神经障碍(FNDs)呈现出神经学与精神病学之间独特的交叉领域,涵盖一系列并非由结构性神经疾病引起的神经症状,常常对传统的诊断和治疗方法构成挑战。最近的进展为其流行病学、病理生理学和管理提供了新的认识。这篇社论根据最近的进展重新审视了FND,强调了不断演变的认识、流行病学见解和新兴治疗方法如何重塑其在全球医疗保健中的地位。目的是促成一种综合的叙述:FND不再是一种排除性诊断,而是一种可诊断且可能可治疗的疾病。这种重新审视促进了更准确的诊断和综合治疗,这对于消除污名化和改善患者预后至关重要。

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Reframing Functional Neurological Disorders in Modern Medicine.现代医学中对功能性神经障碍的重新认识。
Cureus. 2025 Jul 7;17(7):e87415. doi: 10.7759/cureus.87415. eCollection 2025 Jul.

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