心因性非癫痫性发作诊断与治疗进展  

Progression on diagnosis and treatment of psychogenic nonepileptic seizure

作　　者：车向前 王刚[1] 林国珍[2] CHE Xiang-qian;WANG Gang;LIN Guo-zhen(Department of Neurology,Ruijin Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200025,China;Department of Clinical Psychiatry,Ruijin Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200025,China)

机构地区：[1]上海交通大学医学院附属瑞金医院神经内科,200025 [2]上海交通大学医学院附属瑞金医院临床心理科,200025

出　　处：《中国现代神经疾病杂志》2023年第5期439-442,共4页Chinese Journal of Contemporary Neurology and Neurosurgery

基　　金：国家自然科学基金青年科学基金资助项目(项目编号:81801045)。

摘　　要：心因性非癫痫性发作是常见的功能性神经系统疾病,具有复杂病因和临床特征。目前对其诊断主要基于病史和发作症状学,临床易漏诊或误诊,应注意与癫痫发作相鉴别,治疗目标是减少或完全消除发作。本文对心因性非癫痫性发作的临床表现、诊断与鉴别诊断、治疗等最新进展进行综述,旨在提高临床识别率和治疗率,改善患者生活质量。Psychogenic nonepileptic seizure(PNES)is a common functional neurological disorder with complex neuropsychiatric etiology and clinical characteristics.Its diagnosis is mainly based on medical history and symptomatology,which is easily to misdiagnosis in clinical practice.Pay attention to distinguish it from epilepsy,and reduce or completely eliminate seizures.This review introduces the latest advances from four aspects:clinical manifestations,diagnosis,differential diagnosis,and treatment of PNES,to help clinicians diagnose and treat PNES effectively in clinical practice,improving patients'life quality.

关 键 词：转换障碍 神经症性障碍 心理疗法 综述 

分 类 号：R742.1[医药卫生—神经病学与精神病学]