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
- 近期心理或生理应激源
- 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
- 自相矛盾的感觉检查结果
- 分心症状
- 无意识丧失的全面性癫痫样发作
- 步态异常
- 功能性运动障碍
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
- 性虐待或身体虐待史
- 儿童期不良事件
- 创伤相关障碍既往史
- 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)
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
治疗流程
功能性神经障碍
躯体症状障碍
撰稿人
作者
Cynthia M. Stonnington, MD
Professor of Psychiatry
Mayo Clinic
Scottsdale
AZ
利益声明
CMS is an author of a number of references cited in this topic.
Erika Driver-Dunckley, MD
Professor of Neurology
Mayo Clinic
Scottsdale
AZ
利益声明
EDD declares that she has no competing interests.
Katherine H. Noe, MD, PhD
Associate Professor of Neurology
Mayo Clinic
Scottsdale
AZ
利益声明
KHN declares that she has no competing interests.
Dona Locke, PhD
Professor of Psychology
Mayo Clinic
Scottsdale
AZ
利益声明
DL declares that she has no competing interests.
同行评议者
David Perez, MD, MMSc
Psychiatrist and Assistant Neurologist
Massachusetts General Hospital
Associate Professor of Neurology and Psychiatry
Harvard Medical School
Boston
MA
利益声明
DLP has received honoraria for continuing medical education lectures in functional neurologic disorder, research funding for the NH and Sidney R. Baer Jr. Foundation, and royalties from Springer Nature for a textbook on functional movement disorder. DLP has also previously published with the BMJ and is on the editorial board of Epilepsy & Behavior. DLP is the author of a number of papers cited in this topic.
James L Levenson, MD
Rhona Arenstein Professor of Psychiatry
Virginia Commonwealth University
Virginia
利益声明
JLL declares that he was the unpaid text editor for the sections of DSM 5 and DSM 5-TR covering the two diagnoses listed in the topic.
Anton Scamvougeras, MBChB, FRCP
Consultant Neuropsychiatrist and Associate Clinical Professor
Department of Psychiatry
University of British Columbia
Vancouver
British Columbia
Canada
利益声明
AS declares that he has no competing interests. AS is the author of one paper cited in the topic.
鉴别诊断
- 疾病焦虑障碍
- 躯体变形障碍（身体畸形恐惧症）
- 做作性障碍
更多 鉴别诊断指南
- 关于运动功能性神经障碍的神经精神病学评估的综述和专家意见
- 心因性非癫痫性发作临床评估的循证实践
更多 指南
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