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.
作者
唐培源
汪崇泽
洪武
费慧
易正辉
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)
出处
《上海交通大学学报（医学版）》
CAS
CSCD
北大核心
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)。
关键词
分离转换障碍
情绪低落
间歇性晕倒
诊断与治疗
dissociative conversion disorder
profound lugubriousness
intermitting fainting spells
diagnostic and therapeutic approach
