癫痫发作与丹迪-沃克综合征：一例疑似假性癫痫发作病例。
Seizures and the Dandy-Walker syndrome: a case of suspected pseudoseizures.
作者信息
Iancu I, Kotler M, Lauffer N, Dannon P, Lepkifker E
机构信息
Psychiatric Division, Sheba Medical Center, Tel Hashomer and Sackler School of Medicine, Tel Aviv University, Israel.
出版信息
Psychother Psychosom. 1996 Mar-Apr;65(2):109-11. doi: 10.1159/000289058.
BACKGROUND
A major pitfall in the diagnosis of conversion disorder is the difficulty in ruling out organic causes. METHODS. A 19-year-old female was referred with seizures and the Dandy-Walker syndrome. We continued the medical workup and also treated the patient with psychotherapy.
RESULTS
The patient's symptoms gradually abated, however, the headaches remained. No neurologic illness evolved during the follow-up.
CONCLUSIONS
The diagnosis of pseudoseizures is suggested according to clinical evaluation and follow-up. A multidisciplinary approach is recommended in such cases for efficient diagnosis and treatment.
背景
转换障碍诊断中的一个主要陷阱是难以排除器质性病因。方法：一名19岁女性因癫痫发作和丹迪-沃克综合征前来就诊。我们继续进行医学检查，并对患者进行心理治疗。
结果
患者症状逐渐减轻，但头痛仍存在。随访期间未出现神经系统疾病。
结论
根据临床评估和随访结果提示假性癫痫的诊断。对于此类病例，建议采用多学科方法进行有效诊断和治疗。
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