中国现代神经疾病杂志 ›› 2023, Vol. 23 ›› Issue (9): 844-849. doi: 10.3969/j.issn.1672-6731.2023.09.012

• 功能性神经系统疾病 • 上一篇    下一篇

2 功能性肌张力障碍诊断与治疗

李淑华, 苏闻, 陈海波*()   

  1. 100730 北京医院神经内科 国家老年医学中心 中国医学科学院老年医学研究院
  • 收稿日期:2023-08-09 出版日期:2023-09-25 发布日期:2023-10-10
  • 通讯作者: 陈海波
  • 基金资助:
    国家重大疾病多学科合作诊疗能力建设项目(FTJ-19-03)

Diagnosis and treatment of functional dystonia

Shu-hua LI, Wen SU, Hai-bo CHEN*()   

  1. Department of Neurology, Beijing Hospital; National Center of Gerontology, Institute of Geriatric Medicine; Chinese Academy of Medical Sciences, Beijing 100730, China
  • Received:2023-08-09 Online:2023-09-25 Published:2023-10-10
  • Contact: Hai-bo CHEN
  • Supported by:
    National Major Multidisciplinary Cooperative Diagnosis and Treatment Capacity Building Project from the National Health Commission(FTJ-19-03)

摘要:

功能性肌张力障碍是功能性运动障碍的常见亚型,临床表现复杂,部分症状与器质性肌张力障碍重叠,诊断具有挑战性,总体预后不良。本文对功能性肌张力障碍临床表现、辅助检查、诊断与鉴别诊断、治疗与预后等研究进展进行概述,以提高临床对疾病的认知,促进多学科诊疗模式的推进。

关键词: 转换障碍, 张力障碍, 综述

Abstract:

Functional dystonia is one of the most common phenotypes of functional movement disorder (FMD). Multiple clinical manifestations of functional dystonia are complex and some symptoms overlap with idiopathic dystonia. The diagnosis of functional dystonia is challenging and the overall progenosis is poor. This article reviews the clinical manifestations, auxiliary examination, diagnosis and differential diagnosis, treatment and prognosis of functional dystonia, in order to improve clinical cognition and promote the multi-disciplinary team (MDT) of functional dystonia.

Key words: Conversion disorder, Dystonic disorders, Review