Document Detail


Functional symptoms in neurology: case studies.
MedLine Citation:
PMID:  16684639     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this series of case vignettes, the authors have emphasized that the diagnosis of functional symptoms should normally rest on the presence of positive evidence of the problem being functional rather than the absence of evidence of organic disease. In addition, practitioners should be prepared to make a functional diagnosis in a patient who also has evidence of disease. Misdiagnosis of functional symptoms occurs no more than for other neuro-logical and psychiatric disorders. The neurologist has an important role in being able to transmit the diagnosis in a way that will not offend the patient but will also facilitate recovery. The key elements of this explanation are making the patient feel believed and emphasizing potential reversibility. A multidisciplinary approach involving concurrent physical and psychological treatments is often recommended, although further study is required to determine the best approaches to explain and treat these conditions.
Authors:
Jon Stone; Michael Sharpe
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Neurologic clinics     Volume:  24     ISSN:  0733-8619     ISO Abbreviation:  Neurol Clin     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-05-10     Completed Date:  2006-07-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8219232     Medline TA:  Neurol Clin     Country:  United States    
Other Details:
Languages:  eng     Pagination:  385-403     Citation Subset:  IM    
Affiliation:
School of Molecular and Clinical Medicine, University of Edinburgh, Western General Hospital, Crewe Road, Edinburgh EH4 2XU, Scotland. Jon.Stone@ed.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Adult
Brain / pathology,  physiopathology
Diagnosis, Differential
Female
Humans
Hypesthesia
Magnetic Resonance Imaging
Male
Muscle Weakness / diagnosis,  physiopathology
Peripheral Nervous System Diseases / diagnosis*,  physiopathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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