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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">actabiomedica</journal-id><journal-title-group><journal-title xml:lang="ru">Acta Biomedica Scientifica</journal-title><trans-title-group xml:lang="en"><trans-title>Acta Biomedica Scientifica</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2541-9420</issn><issn pub-type="epub">2587-9596</issn><publisher><publisher-name>Scientific Centre for Family Health and Human Reproduction Problems</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.29413/ABS.2018-3.1.11</article-id><article-id custom-type="elpub" pub-id-type="custom">actabiomedica-540</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НЕВРОЛОГИЯ И НЕЙРОХИРУРГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>NEUROLOGY AND NEUROSURGERY</subject></subj-group></article-categories><title-group><article-title>Диагностика функционального (психогенного) пареза и слабости</article-title><trans-title-group xml:lang="en"><trans-title>Diagnosis of functional (psychogenic) paresis and weakness</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Савков</surname><given-names>В. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Savkov</surname><given-names>V. S.</given-names></name></name-alternatives><email xlink:type="simple">mr.savkov1955@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Князева</surname><given-names>Г. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Knyazeva</surname><given-names>G. V.</given-names></name></name-alternatives><email xlink:type="simple">mse-sostav2@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Иркутская государственная медицинская академия последипломного образования - филиал ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России</institution></aff><aff xml:lang="en"><institution>Irkutsk State Medical Academy of Postgraduate Education - Branch Campus of the Russian Medical Academy of Continuing Professional Education</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФКУ «Главное бюро медико-социальной экспертизы по Иркутской области» Минтруда России</institution></aff><aff xml:lang="en"><institution>Head Bureau of Medical and Social Assessment in the Irkutsk Region</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>28</day><month>02</month><year>2018</year></pub-date><volume>3</volume><issue>1</issue><fpage>73</fpage><lpage>81</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Савков В.С., Князева Г.В., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Савков В.С., Князева Г.В.</copyright-holder><copyright-holder xml:lang="en">Savkov V.S., Knyazeva G.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.actabiomedica.ru/jour/article/view/540">https://www.actabiomedica.ru/jour/article/view/540</self-uri><abstract><p>Функциональные двигательные нарушения - нередкие явления в клинической практике. Они могут имитировать широкий спектр неврологических заболеваний. Ошибочный диагноз при функциональных неврологических заболеваниях может привести к ненужному лечению, а иногда и к потенциально опасному диагностическому обследованию, увеличению расходов на здравоохранение и неоправданному психологическому дистрессу. В этой связи одной из актуальных проблем клинической неврологии является ранняя диагностика и лечение функциональных двигательных расстройств, так как они (если правильно не диагностируются) могут инвалидизировать человека сильнее и продолжительнее, чем причины органического происхождения. Функциональные неврологические расстройства должны быть диагностированы, как правило, на основе выявления положительных клинических признаков. «Позитивные» признаки так же важны, как и поиск отсутствия признаков органического заболевания. «Позитивные» знаки, особенно тест Гувера, более надёжны, чем сенсорные знаки, но ни один из них не должен использоваться изолированно, и их следует интерпретировать в общем контексте клинической картины. При этом всегда нужно помнить о возможности того, что ваш пациент может иметь как функциональное, так и органическое расстройство. Поэтому с клиническими проявлениями функциональных двигательных расстройств, а также с их диагностикой должны быть ознакомлены врачи различных специальностей.</p></abstract><trans-abstract xml:lang="en"><p>Functional (conversion) neurological symptoms represent one of the most common situations faced by neurologists in their everyday practice. Among them, acute or subacute functional weakness may mimic very prevalent conditions such as stroke or traumatic injury. In the diagnosis of functional weakness, although elements of the history are helpful, physical signs are often of crucial importance in the diagnosis and positive signs are as important as absence of signs of disease. Hence, accurate and reliable positive signs of functional weakness are valuable for obtaining timely diagnosis and treatment, making it possible to avoid unnecessary or invasive tests and procedures up to thrombolysis. Functional weakness commonly presents as weakness of an entire limb, paraparesis, or hemiparesis, with observable or demonstrable inconsistencies and non-anatomic accompaniments. Documentation of limb movements during sleep, the arm drop test, the Babinski's trunk-thigh test, Hoover tests, the Sonoo abductor test, and various dynamometer tests can provide useful bedside diagnostic information on functional weakness. We therefore present here a brief overview of the positive neurological signs of functional weakness available, both in the lower and in the upper limbs; but none should be used in isolation and must be interpreted in the overall context of the presentation. It should be borne in mind that a patient may have both a functional and an organic disorder.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>функциональное расстройство</kwd><kwd>неорганическое расстройство</kwd><kwd>неврологическое расстройство</kwd><kwd>знаки</kwd><kwd>слабость</kwd><kwd>паралич</kwd><kwd>позитивные признаки</kwd></kwd-group><kwd-group xml:lang="en"><kwd>functional</kwd><kwd>non-organic</kwd><kwd>neurological</kwd><kwd>signs</kwd><kwd>weakness</kwd><kwd>paralysis</kwd><kwd>positive signs</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Akagi H., House A. (2002). 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