CAJ | 학술논문

目的：分析癫痫部分性发作误诊为神经官能症、精神疾病的原因。方法：对2005年-2013年收住我院误诊为神经官能症、精神疾病的部分性发作36例进行回顾性分析。结果：诊断为单纯部分性发作22例，复杂部分性发作14例。结论：误诊的原因是由于部分性发作的临床表现形式复杂多样，发生的部位易产生神经、精神症状，并表现为一些躯体疾病的症状，容易产生混淆。掌握癫痫部分性发作的表现形式，结合病史、发病年龄、病人的体验感受、辅助检查、动态脑电图，有助于减少误诊。
목적：분석전간부분성발작오진위신경관능증、정신질병적원인。방법：대2005년-2013년수주아원오진위신경관능증、정신질병적부분성발작36례진행회고성분석。결과：진단위단순부분성발작22례，복잡부분성발작14례。결론：오진적원인시유우부분성발작적림상표현형식복잡다양，발생적부위역산생신경、정신증상，병표현위일사구체질병적증상，용역산생혼효。장악전간부분성발작적표현형식，결합병사、발병년령、병인적체험감수、보조검사、동태뇌전도，유조우감소오진。
Objective: To evaluate the cause of epilepsies partial seizures misdiagnosed as neurosis or mental illness. Methods: 36 cases were retrospective analyzed in our hospital from 2005 to 2013. Results: 22 cases were diagnosed as simple partial seizure, 14 cases were diagnosed as complex partial seizures. Conclusion: The following reasons of misdiagnosis were inferred, such as neurological and psychiatric symptoms and some symptoms of disease. So they were easy to be confused. Misdiagnosis could be reduced by know well of the clinical manifestations of partial seizure, history, onset age, feelings in patients, relevant auxiliary examinations and AEEG.