Functional Neurological Disorder, An Issue of Neurologic Clinics

1st Edition, Volume 41-4 - October 3, 2023
Editors: David Perez, Sara A. Finkelstein
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 9 3 8 3 9 - 6
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 9 3 8 4 0 - 2

In this issue of Neurologic Clinics, guest editosr Drs. David L. Perez and Sara A. Finkelstein bring their considerable expertise to the topic of Functional Neurologic Disorders.… Read more

Functional Neurological Disorder, An Issue of Neurologic Clinics

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In this issue of Neurologic Clinics, guest editosr Drs. David L. Perez and Sara A. Finkelstein bring their considerable expertise to the topic of Functional Neurologic Disorders. Top experts in the field cover issues such as functional movement disorder: assessment and treatment; functional cognitive disorder: diagnosis, treatment, and differentiation from secondary causes of cognitive dysfunction; functional speech and voice disorders: diagnosis and treatment; personalizing clinical care in functional neurological disorder: a biopsychosocial-informed perspective; and more.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Lessons from a Neurologist After 25 Years of Functional Neurological Disorder Subspeciality Practice
Key points
Functional neurological disorder neurology in the late twentieth and early twenty-first century
The benefits of being an FND neurologist
The downsides of being an FND neurologist
The importance of consultation length, follow-up, and continuing general neurology
The importance of a team and mentorship
Do we need FND neurologists and is it sustainable being one?
Clinics care points
Disclosure
Functional Movement Disorder: Assessment and Treatment
Key points
Introduction
Terminology and nosologic classification
Epidemiology
Clinical aspects and diagnosis of functional movement disorder
Functional movement disorder phenotypes
Electrophysiology
Summary
Clinics care points
Disclosure
Supplementary data
Using Verbally-Reported and Video-Observed Semiology to Identify Functional Seizures
Key points
Introduction
Between the words: conversation analysis
Patient and nonclinical witness descriptions of semiology
Video-observed and expert-observed semiology
Summary
Clinics care points
Declaration of Interests
Functional Cognitive Disorder: Diagnosis, Treatment, and Differentiation from Secondary Causes of Cognitive Difficulties
Key points
Introduction
Investigations
Clinics care points
Disclosures
Functional Speech and Voice Disorders: Approaches to Diagnosis and Treatment
Key points
Introduction
History
Prevalence
Epidemiology
Assessment of functional speech and voice disorders
Differential diagnosis
Treatment principles
Summary
Clinics care points
Declaration of interests
Persistent Postural-Perceptual Dizziness: Review and Update on Key Mechanisms of the Most Common Functional Neuro-otologic Disorder
Key points
Introduction
Epidemiology
Diagnostic considerations
Differential diagnosis
Investigations of persistent postural-perceptual dizziness
Pathophysiologic models
Treatment
Summary
Clinics care points
Disclosure
Functional Neurological Disorder: Diagnostic Pitfalls and Differential Diagnostic Considerations
Key points
Introduction
General pitfalls
Summary
Clinics care points
Toward a Precision Medicine Approach to the Outpatient Assessment and Treatment of Functional Neurological Disorder
Key points
Introduction
The Examination
Communicating the Diagnosis and Gauging Response
Clinics care points
Disclosures
Outpatient Approach to Occupational Therapy for Paroxysmal Functional Neurologic Symptoms: Sensory Modulation Training as an Emerging Treatment
Key points
Introduction
Sensory Modulation Treatment Program goal #1: facilitate self-awareness of sensory processing patterns
Sensory Modulation Treatment Program goal #2: explore self-regulation strategies
Sensory Modulation Treatment Program goal #3: expand self-regulation strategies and facilitate positive change
Sensory Modulation Treatment Program goal #4: repertoire expansion and skill enhancement
Summary
Clinics care points
Developing a Curriculum for Functional Neurological Disorder in Neurology Training: Questions and Answers
Key points
Introduction
Question 1: why do we need a curriculum for functional neurological disorder in neurology residency?
Question 2: what curricular content on functional neurological disorder should be included as part of neurology residency training?
Question 3: how should the recommended curricular content for functional neurological disorder be taught and evaluated during neurology residency?
Question 4: can we operationalize milestones in line with other Accreditation Council for Graduate Medical Education content?
Question 5: how do we better engage and energize neurology trainees around this underserved yet challenging patient population?
Summary
Clinics care points
Funding
Conflicts of interests/disclosures
Supplementary data
Setting up Functional Neurological Disorder Treatment Services: Questions and Answers
Key points
Introduction
Summary
Conflicts of interests/disclosures
Funding
Somatic Symptom Disorder and Health Anxiety: Assessment and Management
Key points
Definition and history
Classification
Epidemiology
Assessment
Etiology and Pathogenesis
Therapeutic options
Discussion
Summary
Clinics care points
Declaration of interests
Funding
Functional Neurological Disorder Among Sexual and Gender Minority People
Key points
Introduction
Terminology: “sexual and gender minority” defined
Sex differences in assumed cisgender functional neurological disorder samples
Functional neurological disorder in sexual minority people
Functional neurological disorder in gender minority people
Minority stress models
Treatment
Gaps in care, knowledge, and the literature
Summary
Clinics care points
Disclosures

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Functional Neurological Disorder, An Issue of Neurologic Clinics

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David Perez

Sara A. Finkelstein