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Abstract：
Functional movement disorder (FMD) is a type of functional neurological disorder that is common but often difficult to diagnose or manage. FMD can present as various phenotypes, including tremor, dystonia, myoclonus, gait disorders, and parkinsonism. Conducting a clinical examination appropriate for assessing a patient with suspected FMD is important, and various diagnostic testing maneuvers may also be helpful. Treatment involving a multidisciplinary team, either outpatient or inpatient, has been found to be most effective. Examples of such treatment protocols are also discussed in this review. While recognition and understanding of the disorder has improved over the past few decades, as well as the development of treatments, it is not uncommon for patients and physicians to continue to experience various difficulties when dealing with this disorder. In this review, I provide a practical overview of FMD and discuss how the clinical encounter itself can play a role in patients\' acceptance of the diagnosis. Recent neuroimaging studies that aid in understanding the pathophysiology are also discussed.
摘要：
功能性运动障碍（FMD）是一种常见的功能性神经障碍（FND），但往往难以诊断或管理。口蹄疫可以表现为各种表型，包括震颤，肌张力障碍,肌阵鸣,步态障碍和帕金森病。进行适合评估疑似口蹄疫患者的临床检查很重要，和各种诊断测试操作也可能是有帮助的。涉及多学科团队的治疗，门诊或住院，被发现是最有效的。本文还讨论了此类治疗方案的示例。虽然在过去的几十年里，人们对这种疾病的认识和理解似乎有所改善，以及治疗方法的发展，患者和医生在治疗这种疾病时继续遇到各种困难并不少见。在这次审查中,我提供了FMD的实用概述，并讨论了临床遇到本身如何在患者接受诊断中发挥作用。还讨论了最近的神经影像学研究的更新，这些研究有助于理解病理生理学。
