Functional neurological disorders (FND): management
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Functional neurological disorders (FND): management. Exclude organic cause, Avoid excessive investigations. Fully referenced neurology checklist.
Approach to management
- Exclude organic cause
- Avoid excessive investigations
- Screen for psychological or psychiatric causes e.g. anxiety and depression
Interventions
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In-patient management
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Follow-up
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References
- Stone J. Functional neurological disorders: the neurological assessment as treatment. Pract Neurol 2016; 16:7-17.
- Reuber M, Mitchell AJ, Howlett SJ, Crimlisk HL, Grunewald RA. Functional symptoms in neurology: questions and answers. JNNP 2005; 76:307-314.
- Marcus H, Aldam P, Lennox G, Laing R. Medically unexplained neurological symptoms. JRSM Short Rep 2010; 1:25.
- Nielsen G, Stone J, Matthews A, et al. Physiotherapy for functional motor disorders: a consensus recommendation. JNNP 2015; 86:1113-1119.
- Demartini B, Batla A, Petrochilos P, Fisher L, Edwards MJ, Joyce E. Multidisciplinary treatment for functional neurological symptoms: a prospective study. J Neurol 2014; 261:2370-2377.
