功能性面部疾病的临床诊断与治疗

doi:10.3969/j.issn.1672-6731.2023.03.013

摘要/Abstract

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

潘小玲, 王刚. 功能性面部疾病的临床诊断与治疗[J]. 中国现代神经疾病杂志, 2023, 23(3): 238-242.

PAN Xiao-ling, WANG Gang. Diagnosis and treatment of functional facial disorders[J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2023, 23(3): 238-242.

https://journal11.magtechjournal.com/cjcnn/CN/Y2023/V23/I3/238

参考文献

[1] Stone J, Hewett R, Carson A, Warlow C, Sharpe M. The 'disappearance' of hysteria:historical mystery or illusion[J]? J R Soc Med, 2008, 101:12-18.
[2] Stone J. Neurologic approaches to hysteria, psychogenic and functional disorders from the late 19th century onwards[J]. Handb Clin Neurol, 2016, 139:25-36.
[3] Kaski D, Bronstein AM, Edwards MJ, Stone J. Cranial functional (psychogenic) movement disorders[J]. Lancet Neurol, 2015, 14:1196-1205.
[4] Jones E. War neuroses and Arthur Hurst:a pioneering medical film about the treatment of psychiatric battle casualties[J]. J Hist Med Allied Sci, 2012, 67:345-373.
[5] Moscovich M, Estupinan D, Qureshi M, Okun MS. Shell shock:psychogenic gait and other movement disorders. A film review[J]. Tremor Other Hyperkinet Mov (NY), 2013, 3:tre-03-110-774-2.
[6] Fasano A, Tinazzi M. Functional facial and tongue movement disorders[J]. Handb Clin Neurol, 2016, 139:353-365.
[7] Williams DT, Ford B, Fahn S. Phenomenology psychopathology related to psychogenic movement disorders[J]. Adv Neurol, 1995, 65:231-257.
[8] Factor SA, Podskalny GD, Molho ES. Psychogenic movement disorders:frequency, clinical profile, and characteristics[J]. J Neurol Neurosurg Psychiatry, 1995, 59:406-412.
[9] Gazulla J, García-Rubio S, Ruiz-Gazulla C, Modrego P. Clinical categorization of psychogenic blepharospasm[J]. Parkinsonism Relat Disord, 2015, 21:325-326.
[10] Fasano A, Valadas A, Bhatia KP, Prashanth LK, Lang AE, Munhoz RP, Morgante F, Tarsy D, Duker AP, Girlanda P, Bentivoglio AR, Espay AJ. Psychogenic facial movement disorders:clinical features and associated conditions[J]. Mov Disord, 2012, 27:1544-1551. hemifacial spasm[J].
[11] Tan EK, Jankovic J. Psychogenic Neuropsychiatry Clin Neurosci, 2001, 13:380-384.
[12] Yaltho TC, Jankovic J. The many faces of hemifacial spasm:differential diagnosis of unilateral facial spasms[J]. Disord, 2011, 26:1582-1592. Distinguishing features
[13] Baizabal-Carvallo JF, Jankovic J. psychogenic (functional) versus organic hemifacial spasm[J]. J Neurol, 2017, 264:359-363.
[14] Stone J, Hoeritzauer I, Tesolin L, Carson A. Functional movement disorders of the face:a historical review and case series[J]. J Neurol Sci, 2018, 395:35-40.
[15] Yin D, Wang H, Zhang YH, Ni Z, Chen Y, Chen XW, Dou RH, Hong Z, Kuang WH, Lin GZ, Wang YK, Wang HL, Xue Z, Xu SL, Chen W, Chen HB, Chen SD, Li CB, Wang G. Chinese expert consensus on the diagnosis and treatment of functional movement disorders[J]. Chongqing Yi Ke Da Xue Xue Bao, 2021, 46:732-736[.尹豆, 王含, 张玉虎, 倪臻, 陈燕, 陈先文, 窦荣花, 洪桢, 况伟宏, 林国珍, 王玉凯, 王华龙, 薛峥, 许顺良, 陈伟, 陈海波, 陈生弟, 李春波, 王刚. 功能性运动障碍的诊断与治疗中国专家共识[J]. 重庆医科大学学报, 2021, 46:732-736.]
[16] Fekete R, Baizabal-Carvallo JF, Ha AD, Davidson A, Jankovic J. Convergence spasm in conversion disorders:prevalence in psychogenic and other movement disorders compared with controls[J]. J Neurol Neurosurg Psychiatry, 2012, 83:202-204.
[17] Bentivoglio AR, Daniele A, Albanese A, Tonali PA, Fasano A. Analysis of blink rate in patients with blepharospasm[J]. Mov Disord, 2006, 21:1225-1229.
[18] Kerty E, Eidal K. Apraxia of eyelid opening:clinical features and therapy[J]. Eur J Ophthalmol, 2006, 16:204-208.
[19] Galli S, Béreau M, Magnin E, Moulin T, Aybek S. Functional movement disorders[J]. Rev Neurol (Paris), 2020, 176:244-251.
[20] Yoshida K. Clinical characteristics of functional movement disorders in the stomatognathic system[J]. Front Neurol, 2020, 11:123.
[21] Tan EK, Jankovic J. Bilateral hemifacial spasm:a report of five cases and a literature review[J]. Mov Disord, 1999, 14:345-349.
[22] Stamey W, Jankovic J. The other Babinski sign in hemifacial spasm[J]. Neurology, 2007, 69:402-404.
[23] Wang A, Jankovic J. Hemifacial spasm:clinical findings and treatment[J]. Muscle Nerve, 1998, 21:1740-1747.
[24] Teodoro T, Cunha JM, Abreu LF, Yogarajah M, Edwards MJ. Abnormal eye and cranial movements triggered by examination in people with functional neurological disorder Neuroophthalmology, 2018, 43:240-243.
[25] Kaski D, Pradhan V, Bronstein AM. Clinical features of functional (psychogenic) eye movement disorders[J]. J Neurol Neurosurg Psychiatry, 2016, 87:1389-1392.
[26] Baizabal-Carvallo JF, Jankovic J. Functional (psychogenic) saccadic oscillations and oculogyric crises[J]. Lancet Neurol, 2016, 15:791.
[27] Sankhla C, Lai EC, Jankovic J. Peripherally induced oromandibular dystonia[J]. J Neurol Neurosurg Psychiatry, 1998, 65:722-728.
[28] Schrag A, Bhatia KP, Quinn NP, Marsden CD. Atypical and typical cranial dystonia following dental procedures[J]. Mov Disord, 1999, 14:492-496.
[29] Mishra A, Pandey S. Cranial functional movement disorders:a case series with literature review[J]. Tremor Other Hyperkinet Mov (NY), 2020, 10:33.
[30] Baker J. Functional voice disorders:clinical presentations and differential diagnosis[J]. Handb Clin Neurol, 2016, 139:389-405.
[31] Chung DS, Wettroth C, Hallett M, Maurer CW. Functional speech and voice disorders:case series and literature review[J]. Mov Disord Clin Pract, 2018, 5:312-316.
[32] Ure RJ, Dhanju S, Lang AE, Fasano A. Unusual tremor syndromes:know in order to recognise[J]. J Neurol Neurosurg Psychiatry, 2016, 87:1191-1203.
[33] Stamelou M, Saifee TA, Edwards MJ, Bhatia KP. Psychogenic palatal tremor may be underrecognized:reappraisal of a large series of cases[J]. Mov Disord, 2012, 27:1164-1168.
[34] Baik JS, Lyoo CH, Lee JH, Lee MS. Drug-induced and psychogenic resting suprahyoid neck and tongue tremors[J]. Mov Disord, 2008, 23:746-748.
[35] Gupta A, Lang AE. Psychogenic movement disorders[J]. Curr Opin Neurol, 2009, 22:430-436.
[36] Schwingenschuh P, Katschnig P, Edwards MJ, Teo JT, Korlipara LV, Rothwell JC, Bhatia KP. The blink reflex recovery cycle differs between essential and presumed psychogenic blepharospasm[J]. Neurology, 2011, 76:610-614.
[37] Hophing L, Bologna M, Berardelli A, Fasano A. Functional eyelid opening apraxia:a kinematic study[J]. Eur J Neurol, 2018, 25:e95-97.
[38] Fahn S, Williams DT. Psychogenic dystonia[J]. Adv Neurol, 1988, 50:431-455.
[39] LaFaver K, Lang AE, Stone J, Morgante F, Edwards M, Lidstone S, Maurer CW, Hallett M, Dwivedi AK, Espay AJ. Opinions and clinical practices related to diagnosing and managing functional (psychogenic) movement disorders:changes in the last decade[J]. Eur J Neurol, 2020, 27:975-984.
[40] Patwal R, Jolly AJ, Kumar A, Yadav R, Desai G, Thippeswamy H. Diagnostic accuracy of clinical signs and investigations for functional weakness, sensory and movement disorders:a systematic review[J]. J Psychosom Res, 2023, 168:111196.
[41] Kola S, LaFaver K. Updates in functional movement disorders:from pathophysiology to treatment advances[J]. Curr Neurol Neurosci Rep, 2022, 22:305-311.
[42] Tomiyama M. Functional movement disorders that do not improve after explaining the diagnosis:the role of neurologists[J]. Brain Nerve, 2022, 74:559-564.
[43] Edwards MJ, Bhatia KP, Cordivari C. Immediate response to botulinum toxin injections in patients with fixed dystonia[J]. Mov Disord, 2011, 26:917-918.
[44] LaFaver K. Treatment of functional movement disorders[J]. Neurol Clin, 2020, 38:469-480.
[45] Pisano G, Ercoli T, Latorre A, Rocchi L. Pathophysiology and treatment of functional paralysis:insight from transcranial magnetic stimulation[J]. Brain Sci, 2023, 13:352.

选择文件类型/文献管理软件名称

选择包含的内容

2 功能性面部疾病的临床诊断与治疗

Diagnosis and treatment of functional facial disorders

RichHTML

PDF

可视化

被引次数

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	佟志勇. 颅内动脉瘤与脑血管重建术[J]. 中国现代神经疾病杂志, 2024, 24(8): 595-598.
[2]	佟志勇. 脑血管重建术历史沿革[J]. 中国现代神经疾病杂志, 2024, 24(8): 599-605.
[3]	金凌骥, 胡俊文, 李寅, 王林. 复杂颅内动脉瘤的颅内-颅内血管搭桥术[J]. 中国现代神经疾病杂志, 2024, 24(8): 606-612.
[4]	刘佩玺, 史源, 朱巍. 血流导向时代颅内全域脑血管搭桥术治疗颅内动脉瘤之应用方略[J]. 中国现代神经疾病杂志, 2024, 24(8): 613-618.
[5]	张峰, 孟凡刚. 帕金森病自主神经功能障碍丘脑底核脑深部电刺激术治疗进展[J]. 中国现代神经疾病杂志, 2024, 24(7): 510-515.
[6]	吴桂智, 田宏. Meige综合征脑深部电刺激术治疗进展[J]. 中国现代神经疾病杂志, 2024, 24(7): 516-521.
[7]	孟凡刚, 张建国. 耳后磨骨槽技术在脑深部电刺激术中的应用[J]. 中国现代神经疾病杂志, 2024, 24(7): 522-524.
[8]	陈琳, 潘华. 功能性震颤的电生理诊断[J]. 中国现代神经疾病杂志, 2024, 24(7): 573-578.
[9]	魏俊吉, 常健博. 深入基层医院普及神经外科重症管理理念[J]. 中国现代神经疾病杂志, 2024, 24(6): 403-406.
[10]	史若琳, 高秀洁, 崔家宁, 邵妍, 谢璐霜, 刘毅. 5-羟色胺与帕金森病非运动症状研究进展[J]. 中国现代神经疾病杂志, 2024, 24(6): 497-501.
[11]	李海峰. 在进入靶向治疗的时代激素仍然是重症肌无力治疗的基础[J]. 中国现代神经疾病杂志, 2024, 24(5): 295-307.
[12]	许鸿嘉, 舒崖清, 王蘋, 李蕃, 许顺良, 邱伟, 马晓宇. 抗水通道蛋白4抗体阳性视神经脊髓炎谱系疾病诊断与治疗进展[J]. 中国现代神经疾病杂志, 2024, 24(5): 308-314.
[13]	黄瑀, 廖金池, 舒崖清. 抗N-甲基-D-天冬氨酸受体脑炎睡眠障碍研究进展[J]. 中国现代神经疾病杂志, 2024, 24(5): 315-319.
[14]	刘彩云, 金涛. 树突状细胞在多发性硬化免疫治疗中的应用[J]. 中国现代神经疾病杂志, 2024, 24(5): 320-330.
[15]	王军成, 赵岳阳, 杨强, 蒯涛, 潘亚文. HMGB1基因调控胶质瘤恶性生物学行为研究进展[J]. 中国现代神经疾病杂志, 2024, 24(5): 391-397.

模态框（Modal）标题

选择文件类型/文献管理软件名称

选择包含的内容

2 功能性面部疾病的临床诊断与治疗

Diagnosis and treatment of functional facial disorders

RichHTML

PDF

可视化

被引次数

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价