An Unusual Case of Functional Neurological Disorders and Psychogenic Coma following Physical Assault:Clinical and Medico-Legal Considerations  

作　　者：Fiorella Caputo Rosario Barranco Pietrantonio Ricci Santo Gratteri Francesca Maria Elena Frigiolini Gabriele Rocca Francesco Ventura 

机构地区：[1]Department of Legal and Forensic Medicine,University of Genova,Genova,Italy [2]Department of Legal and Forensic Medicine,Institute of Legal Medicine,Magna Grsecia University of Catanzaro,Catanzaro,Italy

出　　处：《Journal of Forensic Science and Medicine》2021年第1期36-38,共3页法庭科学与法医学杂志（英文）

摘　　要：Functional neurological disorders can have different clinical manifestations,including coma,in the setting of an unknown etiology.In this article,we present a case of a young man affected by intellectual disabilities who,after a physical assault reported serious neurological alterations and a functional coma.This case shows how a stressful psychophysical event can bring acute and variable neurological manifestations of functional significance to a victim with previous intellectual disabilities.Despite the growing interest in this field,research is still very limited and studies in this field could better explain the nature of the psychogenic coma.From a medico-legal point of view,problems of evaluation may emerge for these disorders emerge as a result of acute psycho-physical stress and without any detectable structural alterations.

关 键 词：Functional coma functional neurological disorder psychogenic disorders stressful events 

分 类 号：R74[医药卫生—神经病学与精神病学]