Management of functional neurological disorder

被引：97
作者：
Gilmour, Gabriela S. [1 ]
Nielsen, Glenn [2 ]
Teodoro, Tiago [2 ,3 ,4 ]
Yogarajah, Mahinda [2 ]
Coebergh, Jan Adriaan [4 ]
Dilley, Michael D. [4 ]
Martino, Davide [1 ]
Edwards, Mark J. [2 ]
机构：
[1] Univ Calgary, Fac Med, Dept Clin Neurosci, Calgary, AB, Canada
[2] St Georges Univ London, Neurosci Res Ctr, Inst Mol & Clin Sci, Cranmer Terrace, London SW17 0RE, England
[3] Univ Lisbon, Hosp Santa Maria, Inst Med Mol, Fac Med, Lisbon, Portugal
[4] St Georges Univ Hosp NHS Fdn Trust, Atkinson Morley Reg Neurosci Ctr, London, England
来源：
JOURNAL OF NEUROLOGY | 2020年 / 267卷 / 07期
基金：
欧盟地平线“2020”; 英国医学研究理事会;
关键词：
Functional neurological disorder; Functional movement disorder; Functional seizures; Psychogenic nonepileptic seizures; Psychogenic movement disorder; PSYCHOGENIC NONEPILEPTIC SEIZURES; MOTOR SYMPTOMS; CHRONIC PAIN; FIBROMYALGIA; THERAPY; METAANALYSIS; DIAGNOSIS; STIMULATION; DULOXETINE; PROGNOSIS;
D O I：
10.1007/s00415-020-09772-w
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
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.
引用
收藏
页码：2164 / 2172
页数：9
相关论文
共 67 条
[1]   Speech and voice disorders in patients with psychogenic movement disorders [J].
Baizabal-Carvallo, Jose Fidel ;
Jankovic, Joseph .
JOURNAL OF NEUROLOGY, 2015, 262 (11) :2420-2424
[2]   A spell in the epilepsy clinic and a history of "chronic pain" or "fibromyalgia" independently predict a diagnosis of psychogenic seizures [J].
Benbadis, SR .
EPILEPSY & BEHAVIOR, 2005, 6 (02) :264-265
[3]   Efficacy, acceptability and safety of cognitive behavioural therapies in fibromyalgia syndrome - A systematic review and meta-analysis of randomized controlled trials [J].
Bernardy, K. ;
Klose, P. ;
Welsch, P. ;
Haeuser, W. .
EUROPEAN JOURNAL OF PAIN, 2018, 22 (02) :242-260
[4]   The impact of receiving a diagnosis of Non-Epileptic Attack Disorder (NEAD): A systematic review [J].
Brough, Jenna L. ;
Moghaddam, Nima G. ;
Gresswell, David M. ;
Dawson, David L. .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 2015, 79 (05) :420-427
[5]   Motor Cortex Excitability and BDNF Levels in Chronic Musculoskeletal Pain According to Structural Pathology [J].
Caumo, Wolnei ;
Deitos, Alicia ;
Carvalho, Sandra ;
Leite, Jorge ;
Carvalho, Fabiana ;
Dussan-Sarria, Jairo Alberto ;
Lopes Tarrago, Maria da Graca ;
Souza, Andressa ;
da Silva Torres, Iraci Lucena ;
Fregni, Felipe .
FRONTIERS IN HUMAN NEUROSCIENCE, 2016, 10
[6]   A Systematic Review of Drug Therapies for Chronic Fatigue Syndrome/Myalgic Encephalomyelitis [J].
Collatz, Ansel ;
Johnston, Samantha C. ;
Staines, Donald R. ;
Marshall-Gradisnik, Sonya M. .
CLINICAL THERAPEUTICS, 2016, 38 (06) :1263-1271
[7]   Gabapentin for fibromyalgia pain in adults [J].
Cooper, Tess E. ;
Derry, Sheena ;
Wiffen, Philip J. ;
Moore, R. Andrew .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2017, (01)
[8]   Evaluation of a pilot innovative cognitive-behavioral therapy-based psychoeducation group treatment for functional non-epileptic attacks [J].
Cope, Sarah R. ;
Smith, Jared G. ;
King, Tara ;
Agrawal, Niruj .
EPILEPSY & BEHAVIOR, 2017, 70 :238-244
[9]  
DAILEY DL, 2019, RANDOMIZED CONTROLLE
[10]   Long-term results of sacral neuromodulation for women with urinary retention [J].
Dasgupta, R ;
Wiseman, OJ ;
Kitchen, N ;
Fowler, CJ .
BJU INTERNATIONAL, 2004, 94 (03) :335-337
1234567