中国现代神经疾病杂志 ›› 2023, Vol. 23 ›› Issue (3): 238-242. doi: 10.3969/j.issn.1672-6731.2023.03.013

• 功能性神经系统疾病 • 上一篇    下一篇

2 功能性面部疾病的临床诊断与治疗

潘小玲1, 王刚2   

  1. 1 321000 浙江省金华市中心医院神经内科;
    2 200025 上海交通大学医学院附属瑞金医院神经内科
  • 收稿日期:2023-02-24 出版日期:2023-03-25 发布日期:2023-04-10
  • 通讯作者: 王刚,Email:w11424@rjh.com.cn
  • 基金资助:
    上海市“医苑新星”杰出青年医师计划项目(项目编号:2019-72)

Diagnosis and treatment of functional facial disorders

PAN Xiao-ling1, WANG Gang2   

  1. 1 Department of Neurology, Jinhua Municipal Central Hospital, Jinhua 321000, Zhejiang, China;
    2 Department of Neurology, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
  • Received:2023-02-24 Online:2023-03-25 Published:2023-04-10
  • Supported by:
    This study was supported by Shanghai "Rising Stars of Medical Talent" Outstanding Youth Medical Talents Program (No. 2019-72).

摘要: 功能性运动障碍是临床常见的转换障碍,累及面部者称为功能性面部疾病,影响患者社交和工作能力。目前大多数临床医师对此类疾病认识尚不充分,使疾病诊断与治疗不及时。本文综述功能性面部疾病的临床表现、电生理学特征、诊断与鉴别诊断、临床管理,以提高临床诊断与治疗水平。

关键词: 转换障碍, 面部肌肉, 综述

Abstract: Functional movement disorder (FMD) is a common conversion disorder, and those who involve the face are called functional facial disorders. It seriously affects patients' social contact and work. Most clinicians have insufficient understanding of functional facial disorders, resulting in delayed diagnosis and treatment. This paper reviews the clinical features, electrophysiology, diagnosis and differential diagnosis, and treatment of functional facial disorders to improve the level of diagnosis and treatment.

Key words: Conversion disorder, Facial muscles, Review