FNDs after COVID-19 and SARS-CoV-2 vaccines: a national multicentre observational study 2023 Alonso-Canovas et al

Andy

Andy

Retired committee member
Introduction

Functional neurological disorders (FNDs) are a common cause of neurology consultations.1 Dissociative seizures, motor and cognitive disorders are the main phenotypes. Diagnosis is made on positive terms: signs of inconsistency, incongruence and variability of physical signs with attention on clinical examination.1 Abnormal emotional processing and expectations are involved in the genesis and perpetuation of FND.1

From the onset of SARS-CoV-2 pandemic, world population has been affected by high levels of stress, uncertainty and misleading information, with a potential impact on mental health. Different studies have ascertained an increase of FND consultations (threefold in an emergency department).2 On the development of SARS-CoV-2 vaccines, several cases of FND following vaccination were published, as well as an official warning from the Functional Neurological Society.3 Post-COVID-19 symptoms (known as Long-COVID-19) have also become a frequent reason for neurology consultation.4 Somatic symptom disorder may be common in these patients, and socioeconomic implications are vast.5

Our experience is that a proportion of patients with FND describe an association with COVID-19 infection/vaccination. Here, we report a cohort of patients with FND for whom COVID-19 or SARS-CoV-2 vaccines were the main precipitant factors.

Paywall, https://jnnp.bmj.com/content/early/2023/03/07/jnnp-2022-330885
 
Again, this is their opinion. It's an opinion that dates back before electrification. But even today all they have is merely "this is our opinion".

It's beyond clear that knowledge in medicine is gained from the scientific method, not experience. It works for some things, but fails at most. Medicine didn't have a damn clue about genetics, pathogens and most of the stuff they know today, despite thousands of years of clinical experience. Literally thousands. Science works. Opinions don't.

They even depend on false premises. It's not true to say that there was high level of stress. It's not backed up by any evidence, other than fear-mongering MDs claiming so. Other than the sick and the dead, most people were barely inconvenienced.

One major element in this is how catastrophic some of the surges were at hospitals. It was truly horrible before vaccines. But all of this happened behind closed doors, the vast majority barely knew what was going on because it was kept secret on the advice of the fear-mongers who believe that fear is worse than illness. So they are projecting their own experience and generalizing to everyone even though the experience and context are vastly different.

This is a worthless process. It doesn't work for anything. Not in medicine. Not anywhere.
 
Functional Neurological Disorder Emerges After COVID Infection, Vaccines

""We show for the first time evidence from a multicenter national study that FNDs after COVID-19 infections and vaccines are more common than previously reported and have distinct clinical profiles," Alonso-Canovas told MedPage Today.

The findings point to a need to consider FND when diagnosing patients with post-COVID neurologic symptoms, she added.

"Long COVID is an umbrella term and many different circumstances have to be considered," Alonso-Canovas said. "If there are neurological symptoms, a careful history and examination is mandatory to rule out FND, as it is a well-defined clinical condition that is potentially treatable."

FND refers to disorders caused by an abnormality in brain signaling with no significant structural brain damage. It occurs in an estimated four to 12 people per 100,000 per year and accounts for about 6% of outpatient neurology visits.

Vaccinations can trigger FND, as can other stressors including infections. While experts maintain some people with FND might be long COVID patients, little research has been conducted to evaluate this."

https://www.medpagetoday.com/neurology/longcovid/103708
 
Umbrella term. Ugh.
I’ve been told by someone in a Facebook group that the dr had told them their FND diagnosis was because it was an umbrella term including a range of conditions including cfs/me. So entirely unsurprising they’re trying to hoover up LC.


Ha I like that @rvallee comment “it’s an opinion that dates back to before electrification”
 
rvallee said:
Again, this is their opinion. It's an opinion that dates back before electrification. But even today all they have is merely "this is our opinion".
Click to expand...

Galen's idea that the body ran on "four humours" i.e. yellow bile, black bile, blood, and phlegm, lasted for around 1000 - 1500 years. How long is FND going to last?
 
Arnie Pye said:
Galen's idea that the body ran on "four humours" i.e. yellow bile, black bile, blood, and phlegm, lasted for around 1000 - 1500 years. How long is FND going to last?
Click to expand...
It's a cheap rebranding of the conversion disorder, so it already had 150+ years of expired shelf life. Without the coming AI revolution it would probably last several decades, but the end is nigh.

I think we'll be seeing a huge peak that will fall completely flat once a breakthrough occurs. This is the kind of thing that would have worked out massively 20-30 years ago. It probably did, many times.

Now everything they do gets recorded somehow, if at least on social media. This is an ideology that requires darkness and BS to grow. You know, like fungus. Heaps and loads of BS, but especially darkness.
 
Andy said:
FND refers to disorders caused by an abnormality in brain signaling with no significant structural brain damage. It occurs in an estimated four to 12 people per 100,000 per year and accounts for about 6% of outpatient neurology visits.
Click to expand...

So does this claim also swallow up subtle microvascular injuries or cellular damage known to cause neurological dysfunctions? Is FND a brain injury or not?
 
To add to my above post.

Professor Jon Stone and his colleagues say adults lose brain cells every day. But brain injury specialists say while that's true, amongst other things, it is the rate of the loss of brain cells that differentiates brain injury. So there are ways to differentiate brain injury from FND that the researchers never seem to mention.
 
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