以间歇性晕倒伴随肌阵挛发作为主要表现的分离转换障碍1例报道  

A case report of dissociative conversion disorder primarily manifesting as intermittent fainting accompanied by myoclonic seizures

作　　者：唐培源 汪崇泽 洪武[1] 费慧 易正辉[1,2,3] 吕钦谕 TANG Peiyuan;WANG Chongze;HONG Wu;FEI Hui;YI Zhenghui;LÜQinyu(Division of Psychotic Disorders,Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China;Department of Psychiatry,Huashan Hospital,Fudan University,Shanghai 200040,China;Institute of Mental Health,Fudan University,Shanghai 200040,China)

机构地区：[1]上海交通大学医学院附属精神卫生中心精神科,上海200030 [2]复旦大学附属华山医院精神科,上海200040 [3]复旦大学精神卫生研究院,上海200040

出　　处：《上海交通大学学报（医学版）》2024年第8期1056-1060,共5页Journal of Shanghai Jiao tong University:Medical Science

基　　金：科技创新2030脑科学与类脑研究重大项目(2022ZD0208500)。

摘　　要：分离转换障碍的特征是患者在记忆、身份意识、即时感觉和身体运动控制方面的正常整合部分或完全丧失。该文报告了1例起始症状为情绪低落、兴趣减退和面部抽动的分离转换障碍病例,随后出现间歇性晕倒伴随肌痉挛。患者多次在综合医院和精神科就诊,经多种抗抑郁药和抗癫痫药物治疗,症状未见明显改善。该案例的报道旨在加深对这类症状复杂且易误诊疾病的认识,并为类似症状患者的诊断与治疗提供参考。The characteristic features of dissociative conversion disorder entail a partial or complete loss of normal integration in memory,identity awareness,immediate sensation,and motor control.This article documents a case of the disorder presenting with an onset of depressive mood,diminished interest,and facial tics,subsequently accompanied by intermittent fainting spells with limb convulsions.Despite multiple consultations in both general hospitals and psychiatric settings,and despite treatment with various antidepressants and antiepileptic medications,the patient's symptoms showed no significant improvement.The report of this case deepens the understanding of a complex and commonly misdiagnosed condition,offering valuable insights for the diagnosis and treatment of patients exhibiting similar symptoms.

关 键 词：分离转换障碍 情绪低落 间歇性晕倒 诊断与治疗 

分 类 号：R749.05[医药卫生—神经病学与精神病学]