医学实践中的常见神经综合征。

Common neurologic syndromes in medical practice.

作者信息

Merikangas J R

出版信息

Med Clin North Am. 1977 Jul;61(4):723-36. doi: 10.1016/s0025-7125(16)31292-5.

Abstract

The cases presented here are intended to illustrate an approach to the patient with complaints which may be vague, evanescent, or related to emotional factors. A scheme to analyze only five factors, mood, movement, sensation, cognition, and consciousness is presented to simplify the complexity of human behavior in order to arrive at correct diagnoses. The importance of a complete medical evaluation is stressed. Psychosis and other major psychiatric illness have been alluded to, but space does not permit discussion of the very important issues of the genetics, the neurochemistry, and the differential diagnosis of schizophrenia, mood disorders, and the organic brain syndromes. Some of the many manifestations of epilepsy have been presented, and the importance of electroencephalography and computed axial tomography is stressed. The references have been chosen for their general utility to practicing clinicians, especially the works of Pincus, Glaser and Tumulty.

摘要

此处呈现的病例旨在阐明针对那些主诉可能模糊、短暂或与情感因素相关的患者的一种诊疗方法。为简化人类行为的复杂性以得出正确诊断，提出了一种仅分析五个因素（情绪、运动、感觉、认知和意识）的方案。强调了全面医学评估的重要性。文中提及了精神病及其他主要精神疾病，但篇幅所限，无法讨论精神分裂症、情绪障碍及器质性脑综合征在遗传学、神经化学和鉴别诊断等非常重要的问题。文中展示了癫痫的多种表现形式，并强调了脑电图和计算机断层扫描的重要性。所选用的参考文献对临床执业医师具有普遍实用性，尤其是平卡斯、格拉泽和图穆尔蒂的著作。