最近审阅: 30 十月 2020
最近更新: 21 三月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 病史中的非常规行为
  • 情绪处理问题
  • 近期生活压力
  • 远期生活压力
  • 多种疾病行为
  • 不寻常的神经功能缺损
  • 倒塌性肌无力
  • 不一致的检查结果
  • 错误的感觉检查结果
  • 分心症状
  • 不一致的瘫痪
  • 无意识丧失的全面性癫痫样发作
  • 古怪的运动
  • 步态异常
  • 功能性(心因性)运动障碍

其他诊断因素

  • 认知损伤
  • 胡佛征(Hoover's sign)
  • 言语障碍
  • 吞咽障碍
  • 假阵挛
  • 会聚痉挛

危险因素

  • 性或身体虐待病史
  • 不稳定的童年病史
  • 创伤相关障碍病史
  • 女性
  • 述情障碍
  • 神经质
  • 之前不良的医患关系

诊断性检查

首要检查

  • 实验室检查
  • 脑电图 (EEG)
更多 首要检查

需考虑的检查

  • 综合神经心理测查
  • 标准化人格测试
  • 主要症状问卷
更多 需考虑的检查

治疗流程

撰稿人

Cynthia Stonnington

Associate Professor of Psychiatry

Mayo Clinic

Scottsdale

AZ

利益声明

CS is an author of a number of references cited in this monograph.

Erika Driver-Dunckley

Associate Professor of Neurology

Mayo Clinic

Scottsdale

AZ

利益声明

EDD declares that she has no competing interests.

Katherine H. Noe

Assistant Professor of Neurology

Mayo Clinic

Scottsdale

AZ

利益声明

KHN is a board member of the Epilepsy Foundation of Arizona.

Dona Locke

Associate Professor of Psychology

Mayo Clinic

Scottsdale

AZ

利益声明

DL declares that she has no competing interests.

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Professor of Liaison Psychiatry

Director

Leeds Institute of Health Sciences

Leeds

UK

利益声明

AH declares that he has no competing interests.

Assistant Clinical Professor

Department of Psychiatry and Behavioral Sciences

Department of Internal Medicine

University of California

Davis

Sacramento

CA

利益声明

GLX may receive royalties as a co-editor of a book entitled Lippincott's Primary Care Psychiatry. He has no other competing interests.

Professor of Psychiatry and Emergency Medicine

Yale School of Medicine

Yale-New Haven Hospital

New Haven

CT

利益声明

SP declares that he has no competing interests.

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