Walser H
Neurologiezentrum Hirslanden, Zürich.
Schweiz Med Wochenschr. 1993 Oct 23;123(42):1969-76.
Patients with "functional" neurological diseases, i.e. suffering from nonorganic pseudo-neurological disorders, are common in neurological practice and account for a significant minority of neurological admissions. The nomenclature of these disorders is confusing and there is still no satisfactory system of classification. Many of these patients are misdiagnosed. The diagnostic problems and treatment of these disorders are illustrated by 4 case reports. Pathophysiologically the disorders are ill understood. Many of their bizarre features may serve as a means of nonverbal communication for these patients. Their management requires close collaboration between neurologists and psychiatrists. Behavioural therapy may be a more appropriate treatment for these disorders than classical analytic psychotherapy.
患有“功能性”神经疾病（即患有非器质性假性神经障碍）的患者在神经科临床实践中很常见，并且在神经科住院患者中占相当比例。这些疾病的命名令人困惑，目前仍没有令人满意的分类系统。许多此类患者被误诊。4例病例报告说明了这些疾病的诊断问题和治疗情况。从病理生理学角度来看，这些疾病还不太为人所了解。它们的许多怪异特征可能是这些患者进行非语言交流的一种方式。对它们的治疗需要神经科医生和精神科医生密切合作。行为疗法可能比传统的分析性心理治疗更适合治疗这些疾病。
