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癫痫和癔症是神经精神科常见病,典型病例因各有其特点可资鉴别,诊断不难。但临床实践中不典型病例并不少见,鉴别诊断有一定困难,尤其是癫痫大发作和癔症运动性发作。现就癫痫与癔症鉴别诊断中几个易混淆的问题,以及脑电图检查在鉴别诊断中的价值,综合国内外文献,供同道参考。一、心理诱发因素癔症病人大多数第一次发作都有明显的心理诱发因素,而癫痫往往没有,但必须注意到(1)有20%的癔症病人家属提供不出诱发因素,往往是这些病人有心理冲突未暴露,而以
Epilepsy and hysteria is a common neuropsychiatric disease, typical cases because of its characteristics can be identified, the diagnosis is not difficult. However, atypical cases of clinical practice is not uncommon, differential diagnosis has some difficulties, especially in seizures and hysteria episodes of seizures. Now on the differential diagnosis of epilepsy and hysteria several confusing problems, as well as the value of EEG in the differential diagnosis, comprehensive domestic and international literature for fellow reference. First, the psychological predisposing factor Hysteria patients have the first episode of the most significant psychological predisposing factors, and epilepsy often not, but we must note that (1) 20% of the hysteria patients families provide no predisposing factors, often these patients Psychological conflicts have not been exposed, but to