展望未来:青少年功能振荡的案例研究

K. Devloo, J. Toelen, C. Cassiman, M. Danckaerts, E. Van Roie
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摘要

A转换障碍或功能性神经障碍(FND)是一种罕见的疾病,伴有自主身体功能、感觉或运动功能障碍,无法用任何已知的躯体疾病解释。本病例报告描述了一名14岁女孩的间歇性水平示波器与正常的神经眼科表现。“示波器失视”指的是不稳定的视觉感知,即振荡图像。这通常是由新获得的眼球运动障碍型眼球震颤、眼球扑动或肌动症引起的。临床检查显示有转化障碍的阳性症状。在儿科入院与多学科评估,诊断FND作出。建立了一个多学科的治疗计划,从诊断的心理教育开始,以达到疾病理论的共同观点。这篇文章的目的是证明需要多学科合作,在诊断阶段的特殊症状表现,关注功能机制。这种方法有助于更快速和综合的结论,并减少排除性诊断的可能性。作者提供了一些与患者沟通的例子,因为这对于实现共享意义至关重要。
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Een blik vooruit: casusbespreking van functionele oscillopsie bij een adolescente
Looking ahead: case report of functional oscillopsia in an adolescent A conversion disorder or functional neurological disorder (FND) is a rare condition with disturbances in voluntary body functions, sensory or motor, unexplained by any known somatic condition. This case report describes intermittent horizontal oscillopsia with normal neuro-ophthalmic findings in a 14-year-old girl. ‘Oscillopsia’ refers to the perception of unstable vision, i.e. an oscillating image. This is usually caused by a newly acquired eye movement disorder type nystagmus, ocular flutter or myokymia. Clinical examination showed positive symptoms of a conversion disorder. During a pediatric admission with multidisciplinary assessment, the diagnosis of FND was made. A multidisciplinary treatment plan was established, starting with psychoeducation about the diagnosis to arrive at a shared perspective of disease theory. This article aims to demonstrate the need for multidisciplinary collaboration in the diagnostic phase of particular symptom presentations with attention to a functional mechanism. This approach contributes to a more rapid and integrated conclusion and reduces the likelihood of an exclusionary diagnosis. The authors provide some examples for communicating with patients, as this is crucial to achieve shared meaning.
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