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Recognizing and treating pseudobulbar affect

机译:识别和处理伪影响

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Pseudobulbar affect, thought by many to be a relatively newly described condition, is in fact a very old one, described as early as the 19th century. It refers to those who experience inappropriate affect, disconnected from internal state, or mood, generally thought to be the result of an upper motor neuron injury or illness. One possible explanation for this condition's relative obscurity is the dearth of treatment options; clinical medicine is not typically in the habit of identifying conditions that cannot be modified. Now, however, there is good evidence for the treatment of pseudobulbar affect, and even a therapy approved for use by the U.S. Food and Drug Administration (FDA). As a result, appropriate identification and subsequent management of pseudobulbar affect is more important than ever. This article purports to summarize the origins of pseudobulbar affect, most current hypotheses as to its physiopathology, clinical identification, and evidence for management.
机译:伪波栏的影响,许多人认为是一个相对新描述的条件,实际上是一个非常古老的条件,早在19世纪也被描述。 它是指那些经历不恰当的影响的人,与内部状态或情绪断开连接,一般认为是上运动神经元损伤或疾病的结果。 这种情况的一个可能的解释相对默默无闻是治疗方案的缺乏; 临床医学通常不是鉴定无法修改的条件的习惯。 然而,现在,有良好的证据探讨伪麻痹影响,甚至批准用于美国食品和药物管理局(FDA)的治疗。 因此,适当的识别和随后的伪恐怖禁区的管理比以往任何时候都更重要。 本文旨在总结伪波栏影响的起源,最新的假设,对其的生理病理学,临床鉴定和管理证据。

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