小児心因性疾患の診断における量的視野検査の有用性

Abstract

Therapeutic and diagnostic strategy for psychosomatic diseaseis an important issue for childhood health. Recently the incidence of childhood psychosomatic diseases has been increaslng. The diagnosis of psychosomatic disease is usually based on history and clinical symptoms, excluding organic diseases. The lack of methods diagnosed objectively as having a psychosomatic disease might be responsible for difficulties in taking care of psychosomatic patients. It is known that tubular and/or spiral fields are seen in patients with psychosomatic visual disorder. We report herein three cases in which quantitative visual field examinations contribute to the diagnosis of psychosomatic diseases such as hysteria, post traumatic stress disorder (PTSD) and psychosomatic headache.