功能性运动障碍神经电生理学研究进展

Research progress on clinical neurophysiology of functional movement disorder

神经电生理检测技术利用生物电原理记录中枢神经系统或周围神经系统自发或外部刺激诱发的电活动,由于功能性运动障碍与器质性运动障碍的病理生理学机制存在本质区别,二者中枢神经系统和周围神经系统电活动不同,因此神经电生理检测具有重要诊断与鉴别诊断意义。本文综述临床常用的神经电生理检测技术及其在功能性运动障碍中的应用进展,以提高对功能性运动障碍发病机制的认识,为临床准确诊断提供依据。

Neurophysiological technique uses the bioelectrical principle to record the spontaneous or external stimulation⁃induced electrical activities of the central or peripheral nervous system.Due to the essential difference in the pathophysiological mechanism of functional and organic movement disorders,neurophysiology is of great significance for the diagnosis and differential diagnosis of the central and peripheral nervous systems.In order to improve the understanding of the pathogenesis of functional movement disorder(FMD)and provide the basis for the accurate diagnosis,this paper reviews the common clinical neurophysiological techniques and their application in FMD.