neurological symptoms
Introduction
Introduction In general, there are often more complaints, especially those who are related to emotional factors and who are clinically unrecognized and diagnosed as neurosis. Most scholars believe that this disease is caused by the combination of mental factors and genetic factors (susceptibility). People with predisposition are prone to emotional reactions, and mild external stimuli may induce this disease.
Cause
Cause
Due to factors such as anxiety, nervousness, emotional agitation, and trauma, the central nervous system has an obstacle to the process of excitation and inhibition. The cardiovascular system regulated by autonomic nerves also causes a series of symptoms of excessive sympathetic tone. In addition, overwork, too little physical activity, lack of proper exercise in the circulatory system, so that a little activity or a little tired can not adapt, resulting in excessive cardiovascular response to the disease.
Traditional neurosis is divided into many diagnoses because of its prominent symptoms. The diagnosis of neurosis in China includes the following diseases (or syndromes):
1. Terror neurosis: also known as phobia, phobia, a neurosis with terror symptoms as the main clinical manifestation, the specific things or situations that are feared are external, although there is no danger at that time, often accompanied by terrorist attacks. There are significant autonomic symptoms, and the patient tries to avoid the situation he is afraid of. He himself knows that fear is excessive, inappropriate or unreasonable, but it does not prevent terror.
2. Anxiety neurosis: also known as anxiety neurosis, is the main clinical manifestations of generalized anxiety disorder (chronic anxiety disorder) and anaesthetic panic disorder (acute anxiety disorder), often accompanied by dizziness, chest tightness, palpitations, breathing Difficulties, dry mouth, frequent urination, urgency, sweating, tremors, and motor anxiety, its anxiety is not caused by actual threats, or its level of nervousness is not commensurate with the reality.
3. Obsessive-compulsive disorder: referred to as obsessive-compulsive disorder, is the main symptom of repeated persistent obsessive-compulsive or/and forced movement. These symptoms are out of the patient's heart, but are not experienced and voluntarily produced, but the patient is unwilling to think It is unreasonable to know that it is not sensible, but it cannot be rid of the pain of the patient, and it is incompatible with his own personality.
4. Depressive neurosis: also known as neurosis depression, is a neurosis characterized by a persistent state of mind caused by psychosocial factors, often accompanied by anxiety, physical discomfort and sleep disorders, patients have treatment Required, but no obvious motor inhibition or mental symptoms, life is not seriously affected, is a neurosis characterized by persistent state of mind, often accompanied by anxiety, physical discomfort and sleep disorders, patients have treatment Requirements, without obvious motor depression or psychotic symptoms, the ability to live is not seriously affected, this disease is internationally known as "bad mood."
5. Hysteria: The original annotation of the term "sickness" is "heart disease", also known as hysteria. It is a relatively common neuropathy. It is more common in rural areas. It is currently considered that patients with hysteria are more susceptible to suggestiveness and exaggeration. Emotional use and highly self-centered personality characteristics, often caused by mental factors or bad hints, can present a variety of clinical symptoms, such as impaired sensory and motor function, internal organs and autonomic dysfunction and mental disorders, such symptoms There is no basis for organic damage, it can be caused by hints, or it can be changed or disappeared by suggestion.
6. Suspected neurosis: Also known as a suspected condition, it refers to a neurological disorder in which the mind or the sign of the self has an unrealistic morbid interpretation, causing the whole mind to be occupied by doubts, troubles and fears. Characterized by excessive care for one's own health and stereotypes that are difficult to eliminate, the patient suspects that he or she has a disease that does not actually exist. The doctor's explanation and objective examination are not enough to eliminate his opinion.
7. neurasthenia: neurasthenia refers to the excessive stress of brain function caused by some long-standing mental factors, resulting in the weakening of mental activity. Its main clinical features are easy to be excited and easy to fatigue, often accompanied by various bodies. Discomfort and sleep disorders, many patients have some susceptibility or bad personality before the illness.
8. Other neuroses.
The commonality is that 1 disease is often related to quality and psychosocial factors; 2 there is a certain personality foundation, and often it is difficult to control the consciousness or behavior that should be controllable; 3 clinical phase presents various symptoms of mental and physical aspects , but no corresponding organic basis; 4 general awareness, good contact with reality, complete personality, no serious behavioral disorders; 5 longer course, complete self-knowledge, requiring treatment.
Examine
an examination
Related inspection
Ultrasound diagnosis of cardiovascular disease
Diagnostics should pay attention to the identification of neurosis and neurological symptoms caused by other diseases, so patients with neurosis must undergo a careful physical examination, while paying attention to the early stages of some physical symptoms, the positive signs are not one or two Can be detected.
Only two conditions must be met to diagnose neurosis:
(1) After careful examination, no corresponding physical illness that can explain its symptoms;
(2) Mental factors have a great influence on the onset and changes in the condition.
Diagnosis
Differential diagnosis
Diagnosis and identification of neurosis
(1) Brain injury syndrome: such as encephalitis, brain trauma, cerebrovascular disease, carbon monoxide poisoning and other pathological recovery period may have similar performance, but often accompanied by intellectual damage, limb paralysis, nerve paralysis, brain CT or EEG Anomalies can help identify.
(2) Anxiety disorders: Anxiety disorders occur mostly in young and middle-aged groups. The induced factors are mainly related to human personality and environment, although there are also palpitation, shortness of breath, indigestion, nausea and vomiting, abdominal distension, constipation, sweating, limb tremor, and nocturnal emission. , impotence, irregular menstruation and other symptoms, but different from neurosis is a short history, and can ask the cause of anxiety.
(3) Hyperthyroidism: Patients with hyperthyroidism have similar neurosis symptoms, but some clinical signs of hyperthyroidism can be found through clinical examinations, such as prominent eyeballs, fine tremors in the hands, mild swelling of the thyroid, and T3 in the blood. T4 increase can be identified.
