Management of functional neurological disorder, 2020, Edwards et al

Andy

Andy

Retired committee member
Functional neurological disorder (FND) is a common cause of persistent and disabling neurological symptoms. These symptoms are varied and include abnormal control of movement, episodes of altered awareness resembling epileptic seizures and abnormal sensation and are often comorbid with chronic pain, fatigue and cognitive symptoms. There is increasing evidence for the role of neurologists in both the assessment and management of FND. The aim of this review is to discuss strategies for the management of FND by focusing on the diagnostic discussion and general principles, as well as specific treatment strategies for various FND symptoms, highlighting the role of the neurologist and proposing a structure for an interdisciplinary FND service.
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Open access, https://link.springer.com/article/10.1007/s00415-020-09772-w
 
Whereas I do understand only too well any doubt in regard of psychological factors, I really don´t understand doubt in regard of neurological factors. (Any reasons?)

Edwards himself seems to me a bit veering now, secretly admitting that the psychological interpretation was wrong, though better not too much, best not to contradict all his and their former efforts.

Being aware of Figure 1 (which looks to me like bad systematics anyway)

415_2020_9772_Fig1_HTML.png
 
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