The most promising advances in our understanding and treatment of functional (psychogenic) movement disorders

被引：20

作者：

Hallett, Mark ^{[1
]}

机构：

[1] NINDS, NIH, Human Motor Control Sect, Bldg 10,Room 7D37,10 Ctr Dr, Bethesda, MD 20892 USA

来源：

PARKINSONISM & RELATED DISORDERS | 2018年 / 46卷

关键词：

Functional movement disorder; Psychogenic movement disorder; Limbic system; Neuroimaging; Pathophysiology; Treatment; Physical therapy; Agency; MOTOR CONVERSION DISORDER; COGNITIVE-BEHAVIORAL THERAPY; RANDOMIZED CLINICAL-TRIAL; NONEPILEPTIC SEIZURES; SELF-AGENCY; PILOT; PSYCHOTHERAPY; SYMPTOMS; STIMULI;

D O I：

10.1016/j.parkreldis.2017.07.002

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The name functional rather than psychogenic is getting to be more widely used for terminology of this condition. It is better accepted by patients and keeps an open mind in searching for greater understanding of the pathophysiology. Advances in the pathophysiology show an overactive limbic system with connections to the motor system. Moreover, there is a disruption of the self-agency network, possibly due to a failure of feedforward signaling. There has recently been more success in treating patients. The strongest evidence is for intensive physical therapy coupled with at least some psychological support. Psychotherapy with cognitive behavioral therapy may well also be useful. Published by Elsevier Ltd.

引用

页码：S80 / S82

页数：3

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