Chinese Journal of Contemporary Neurology and Neurosurgery ›› 2023, Vol. 23 ›› Issue (7): 604-609. doi: 10.3969/j.issn.1672-6731.2023.07.007

• Functional Neurological Disorder • Previous Articles     Next Articles

Diagnosis and treatment of functional gait disorder

Qing-shuo ZHANG1, Dan-dan SONG1, Shi-yue ZHOU1, Jin-lu ZHANG2, Xiao-xu HAN1, Shun-liang XU1,*()   

  1. 1. Department of Neurology, The Second Hospital of Shandong University, Ji'nan 250033, Shandong, China
    2. Department of Neurology, Second Provincial General Hospital, Ji'nan 250012, Shandong, China
  • Received:2023-06-16 Online:2023-07-25 Published:2023-08-03
  • Contact: Shun-liang XU
  • Supported by:
    Key Research and Development Plan Project of Shandong(2019GSF108066); Natural Science Foundation of Shandong(ZR2015HM024)

功能性步态障碍诊断与治疗

张庆硕1, 宋丹丹1, 周世越1, 张金璐2, 韩晓旭1, 许顺良1,*()   

  1. 1. 250033 济南, 山东大学第二医院神经内科
    2. 250012 济南, 山东省第二人民医院神经内科
  • 通讯作者: 许顺良
  • 基金资助:
    山东省重点研发计划项目(2019GSF108066); 山东省自然科学基金资助项目(ZR2015HM024)

Abstract:

Functional gait disorder (FGD) is a common subtype of functional movement disorder (FMD), mainly characterized by instability, lameness and Parkinson's gait. The clinical manifestations of FGD are the same as those of other types of gait disorder, with the possibility of misdiagnosis. However, there are significant differences in the treatment principles between them, so clear diagnosis and accurate treatment are crucial to improve patients' symptoms and prognosis. This paper aims to systematically review the epidemiological characteristics, clinical manifestations, auxiliary examination, diagnosis and differential diagnosis, treatment and prognosis of FGD, in order to improve the understanding of clinicians.

Key words: Conversion disorder, Gait apraxia, Review

摘要:

功能性步态障碍是功能性运动障碍的常见亚型,以失稳、跛行、帕金森样步态等为主征,与其他类型步态障碍性疾病的临床表现无异,存在误诊可能,但二者治疗原则存在显著差异,因此明确诊断、精准治疗对改善患者症状及预后至关重要。本文拟系统综述功能性步态障碍流行病学特点、临床特征、辅助检查、诊断与鉴别诊断、治疗与预后相关研究进展,以提高临床医师对疾病的认识。

关键词: 转换障碍, 步态失调, 综述