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2020 | OriginalPaper | Buchkapitel

5. Dissoziative Anfälle

verfasst von : Stoyan Popkirov

Erschienen in: Funktionelle neurologische Störungen

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Dissoziative Anfälle sind plötzlich auftretende und zeitlich begrenzte Störungen der Wahrnehmung und der Bewegungskontrolle, die äußerlich anderen neurologischen Paroxysmen wie epileptischen Anfällen oder Synkopen ähneln können. Allerdings liegt dissoziativen Anfällen weder eine neuronale Hypersynchronisation noch eine zerebrale Minderdurchblutung zugrunde, sondern eine komplexe neurokognitive Dysfunktion. Sie machen etwa 10 % aller „Krampfanfälle“ im Rettungsdienst aus und sind eine häufige Diagnose an Epilepsie-Zentren. Die Diagnose erfolgt anhand der charakteristischen Semiologie. Entsprechend dem klinischen Bild kann eine weiterführende Diagnostik mittels Video-EEG und Kipptisch-Untersuchung zur sicheren Abgrenzung von anderen neurologischen Paroxysmen notwendig sein. Die Ätiologie ist multifaktoriell. Moderne Krankheitsmodelle sehen in den Anfällen eine maladaptive Verhaltensschablone, die unter bestimmten Umständen (z. B. Belastung oder Suggestion) reflexartig ausgeführt wird. Psychotherapie gilt als Mittel der Wahl.

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Titel: Dissoziative Anfälle
verfasst von: Stoyan Popkirov
Verlag: Springer Berlin Heidelberg
Buch: Funktionelle neurologische Störungen
Print ISBN: 978-3-662-61271-2

Electronic ISBN: 978-3-662-61272-9

Copyright-Jahr: 2020
DOI: https://doi.org/10.1007/978-3-662-61272-9_5

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Schlaganfall: Frühzeitige Blutdrucksenkung im Krankenwagen ohne Nutzen

Nicht Creutzfeldt Jakob, sondern Abführtee-Vergiftung

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Zusammenfassung

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Neu in den Fachgebieten Neurologie und Psychiatrie

Bei seelischem Stress sind Checkpoint-Hemmer weniger wirksam

Demenzkranke durch Antipsychotika vielfach gefährdet

Schlaganfall: Frühzeitige Blutdrucksenkung im Krankenwagen ohne Nutzen

Nicht Creutzfeldt Jakob, sondern Abführtee-Vergiftung