上海交通大学学报（医学版）

上海交通大学学报（医学版） ›› 2024, Vol. 44 ›› Issue (8): 1056-1060.doi: 10.3969/j.issn.1674-8115.2024.08.016

• 病例报告 • 上一篇    

以间歇性晕倒伴随肌阵挛发作为主要表现的分离转换障碍1例报道

唐培源1(), 汪崇泽1, 洪武1, 费慧1, 易正辉1,2,3, 吕钦谕1,2()   

  1. 1.上海交通大学医学院附属精神卫生中心精神科，上海 200030
    2.复旦大学附属华山医院精神科，上海 200040
    3.复旦大学精神卫生研究院，上海 200040
  • 收稿日期:2024-01-22 接受日期:2024-04-10 出版日期:2024-08-28 发布日期:2024-08-27
  • 通讯作者: 吕钦谕 E-mail:18211140007@fudan.edu.cn;lvqinyu_louis@163.com
  • 作者简介:唐培源（1994—），男，住院医师，硕士生；电子信箱:18211140007@fudan.edu.cn。
  • 基金资助:
    科技创新2030脑科学与类脑研究重大项目(2022ZD0208500)

A case report of dissociative conversion disorder primarily manifesting as intermittent fainting accompanied by myoclonic seizures

TANG Peiyuan1(), WANG Chongze1, HONG Wu1, FEI Hui1, YI Zhenghui1,2,3, LÜ Qinyu1,2()   

  1. 1.Division of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China
    2.Department of Psychiatry, Huashan Hospital, Fudan University, Shanghai 200040, China
    3.Institute of Mental Health, Fudan University, Shanghai 200040, China
  • Received:2024-01-22 Accepted:2024-04-10 Online:2024-08-28 Published:2024-08-27
  • Contact: Lü Qinyu E-mail:18211140007@fudan.edu.cn;lvqinyu_louis@163.com
  • Supported by:
    Science and Technology Innovation 2030 Major Program on Brain Science and Brain?like Research(2022ZD0208500)

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摘要：

分离转换障碍的特征是患者在记忆、身份意识、即时感觉和身体运动控制方面的正常整合部分或完全丧失。该文报告了1例起始症状为情绪低落、兴趣减退和面部抽动的分离转换障碍病例，随后出现间歇性晕倒伴随肌痉挛。患者多次在综合医院和精神科就诊，经多种抗抑郁药和抗癫痫药物治疗，症状未见明显改善。该案例的报道旨在加深对这类症状复杂且易误诊疾病的认识，并为类似症状患者的诊断与治疗提供参考。

关键词: 分离转换障碍, 情绪低落, 间歇性晕倒, 诊断与治疗

Abstract:

The characteristic features of dissociative conversion disorder entail a partial or complete loss of normal integration in memory, identity awareness, immediate sensation, and motor control. This article documents a case of the disorder presenting with an onset of depressive mood, diminished interest, and facial tics, subsequently accompanied by intermittent fainting spells with limb convulsions. Despite multiple consultations in both general hospitals and psychiatric settings, and despite treatment with various antidepressants and antiepileptic medications, the patient's symptoms showed no significant improvement. The report of this case deepens the understanding of a complex and commonly misdiagnosed condition, offering valuable insights for the diagnosis and treatment of patients exhibiting similar symptoms.

Key words: dissociative conversion disorder, profound lugubriousness, intermitting fainting spells, diagnostic and therapeutic approach

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