中国现代神经疾病杂志 ›› 2023, Vol. 23 ›› Issue (6): 535-538. doi: 10.3969/j.issn.1672-6731.2023.06.011

• 功能性神经系统疾病 • 上一篇    下一篇

2 功能性抽动诊断与治疗

谢心怡, 姜雨菡, 陈伟*()   

  1. 200011 上海交通大学医学院附属第九人民医院神经内科
  • 收稿日期:2023-05-06 出版日期:2023-06-25 发布日期:2023-07-05
  • 通讯作者: 陈伟
  • 基金资助:
    上海市康复医学会健康管理科研基金资助项目(2022KJCX008); 上海交通大学医学院附属第九人民医院学科特色疾病生物样本库项目(YBKB202120); 上海交通大学医学院附属第九人民医院临床研究助推计划(JYLJ202003)

The progress on diagnosis and treatment of functional tics

Xin-yi XIE, Yu-han JIANG, Wei CHEN*()   

  1. Department of Neurology, Shanghai Ninth People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200011, China
  • Received:2023-05-06 Online:2023-06-25 Published:2023-07-05
  • Contact: Wei CHEN
  • Supported by:
    Health Management Project of Shanghai Rehabilitation Medical Association(2022KJCX008); Biobank Project of Shanghai Ninth People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine(YBKB202120); Clinical Research Program of Shanghai Ninth People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine(JYLJ202003)

摘要:

功能性抽动是功能性运动障碍的一种亚型, 其临床表现与原发性抽动症存在交叉与重叠, 鉴别诊断存在一定困难。本文拟对功能性抽动的流行病学以及危险因素、临床特征、诊断与治疗等相关内容进行概述, 并与原发性抽动症(特别是抽动秽语综合征)相比较, 以提高临床诊断准确率, 避免误诊误治。

关键词: 转换障碍, 抽搐性运动障碍, 综述

Abstract:

Functional tics is one type of functional movement disorders (FMD) with overlapping clinical manifestations of primary tics. It is difficult to distinguish them in clinical practice. In this text, we will introduce the epidemiology, risk factors, clinical features, diagnosis and treatment of functional tics by comparing with primary tics (especially Tourette's syndrome), with the aim to improve the rate of accurate diagnosis, and avoid misdiagnosis and mistreatment.

Key words: Conversion disorder, Tic disorders, Review