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Flashcards in Functional neurological disorders Deck (11)
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1
Q

What is a functional neurological disorder?

A

Anything causing symptoms without visible organic change in tissue

2
Q

What history should be taken in a functional neurological disorder?

A
Symptoms
Disability
Onset and course
Dissociative symptoms
Illness beliefs
Social
Old notes
3
Q

What is found on examination with functional neurological disorders?

A
Inconsistencies
Positive functional signs
Notable absence of disease signs
Convergent eye spasms
Tremor that disappears on distraction
Paralysis
Fixed dystonia
4
Q

What is found in paralysis inFunctional neurological disorders?

A

Leg dragging, hip rotated

Inverted pyramidal weakness

5
Q

What is fixed dystonia?

A

Fixed abnormal limb postures and pain after minor injury

6
Q

What investigations should be done for functional neurological disorders?

A

MRI
Video EEG
Functional MRI- more research than clinical

7
Q

What is the management of functional neurological disorders?

A

Give a positive diagnosis
Watch for mental health issues
Educate patient, friends and family

8
Q

What is the prognosis of functional neurological disorders?

A

Reduction in attendance at A&E/GP after positive diagnosis
Misdiagnosis of 5%

9
Q

What are the positive functional signs in functional neurological disorders?

A

Hoover’s sign

Functional sensory disturbance

10
Q

What is Hoover’s sign?

A

Weak hip extension when asked but strong extension when feeling opposite hip flex

11
Q

What is a functional sensory disturbance?

A

Sensory loss straight down midline