Management of functional neurological disorder

被引：87

作者：

Gilmour, Gabriela S. ^{[1
]}

Nielsen, Glenn ^{[2
]}

Teodoro, Tiago ^{[2
,3
,4
]}

Yogarajah, Mahinda ^{[2
]}

Coebergh, Jan Adriaan ^{[4
]}

Dilley, Michael D. ^{[4
]}

Martino, Davide ^{[1
]}

Edwards, Mark J. ^{[2
]}

机构：

[1] Univ Calgary, Fac Med, Dept Clin Neurosci, Calgary, AB, Canada

[2] St Georges Univ London, Neurosci Res Ctr, Inst Mol & Clin Sci, Cranmer Terrace, London SW17 0RE, England

[3] Univ Lisbon, Hosp Santa Maria, Inst Med Mol, Fac Med, Lisbon, Portugal

[4] St Georges Univ Hosp NHS Fdn Trust, Atkinson Morley Reg Neurosci Ctr, London, England

来源：

JOURNAL OF NEUROLOGY | 2020年 / 267卷 / 07期

基金：

英国医学研究理事会; 欧盟地平线“2020”;

关键词：

Functional neurological disorder; Functional movement disorder; Functional seizures; Psychogenic nonepileptic seizures; Psychogenic movement disorder; PSYCHOGENIC NONEPILEPTIC SEIZURES; MOTOR SYMPTOMS; CHRONIC PAIN; FIBROMYALGIA; THERAPY; METAANALYSIS; DIAGNOSIS; STIMULATION; DULOXETINE; PROGNOSIS;

D O I：

10.1007/s00415-020-09772-w

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Functional neurological disorder (FND) is a common cause of persistent and disabling neurological symptoms. These symptoms are varied and include abnormal control of movement, episodes of altered awareness resembling epileptic seizures and abnormal sensation and are often comorbid with chronic pain, fatigue and cognitive symptoms. There is increasing evidence for the role of neurologists in both the assessment and management of FND. The aim of this review is to discuss strategies for the management of FND by focusing on the diagnostic discussion and general principles, as well as specific treatment strategies for various FND symptoms, highlighting the role of the neurologist and proposing a structure for an interdisciplinary FND service.

引用

页码：2164 / 2172

页数：9

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