Neurasthenic syndrome

Introduction Neurasthenia syndrome, also known as neurasthenia or cerebral weakness syndrome, is a group of symptoms similar to neurasthenia caused by certain chronic physical diseases. Its development, course of disease and prognosis are determined by the physical disease itself. With the improvement of physical diseases and the recovery of systemic conditions, symptoms similar to neurasthenia disappear.

Cause

A group of symptoms similar to neurasthenia caused by certain chronic physical illnesses.

The following two diseases can cause neurasthenia syndrome:

1. Brain organic diseases, such as cerebral arteriosclerosis, intracranial space-occupying lesions, sporadic encephalitis, tuberculous meningitis, and head injury;

2. Chronic diseases of the body, such as tuberculosis, stomach, duodenal ulcer, chronic hepatitis, paranasal sinusitis, thyroid and adrenal diseases.

In addition, experts pointed out that in the early stages of certain mental disorders, symptoms of neurasthenia syndrome, such as schizophrenia and depression, may also be manifested. Therefore, neurasthenia syndrome should be carefully identified when it is diagnosed and treated to avoid misdiagnosis.

The causes of neurasthenia syndrome are environmental factors and internal factors. Therefore, prevention should be taken from these two aspects.

an examination

Related inspection

EEG examination of brain CT

The clinical manifestations include dizziness, headache, insomnia, forgetfulness, difficulty in concentration, anxiety, nervousness, irritability, fatigue, decreased work efficiency, fear of sound, tinnitus, general malaise and apathy. May be associated with autonomic and sexual dysfunction.

The main symptoms of neurasthenia are decreased ability in all aspects and increased response to various stimuli. Psychological levels are prone to fatigue, sleep disorders, inattention, memory loss, and anxiety with horror. It is susceptibility to sound, light or various parts of the body, such as weak heart and various sexual dysfunction. The definition of neurasthenia determined at the Symposium on Neurosis in China in 1985 pointed out that patients with this disease are prone to excitement and mental fatigue, often accompanied by emotional annoyance and some psychophysiological symptoms. Some scholars believe that the fatigue of neurasthenia is selective, that is, it is not easy to be tired of the emotional experience of interest, but it is easy to be tired of those who are not interested or subconscious.

Differential diagnosis

Need to be identified with the following symptoms:

Mental disorders caused by physical illnesses:

Mental disorders caused by physical diseases refer to mental disorders manifested throughout the entire process of internal organs, endocrine, metabolism, nutrition, blood, collagen diseases and infections, and other medical diseases. It is more common to develop acute mental disorders based on primary physical diseases. It is an integral part of all the symptoms of the primary physical illness.

Depression: The main mood is low, and it is not commensurate with the situation. It can be from sullen to grief, and even stupor. In severe cases, psychotic symptoms such as hallucinations and delusions may occur. Anxiety and motility agitation in some cases are significant.

Depression: An affective disorder characterized by low self-esteem, inattention, and other related symptoms.

Fatigue: Fatigue, also known as fatigue, is subjectively a feeling of fatigue and discomfort. Fatigue is not a specific symptom. Many diseases can cause fatigue. Few patients feel more nervous after being sick. Different diseases cause different degrees of fatigue. Some diseases are more obvious and sometimes can be used as the first symptom of a visit.

The clinical manifestations include dizziness, headache, insomnia, forgetfulness, difficulty in concentration, anxiety, nervousness, irritability, fatigue, decreased work efficiency, fear of sound, tinnitus, general malaise and apathy. May be associated with autonomic and sexual dysfunction.

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