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- Title
Functional neurological disorder in the emergency department.
- Authors
Finkelstein, Sara A.; Cortel‐LeBlanc, Miguel A.; Cortel‐LeBlanc, Achelle; Stone, Jon
- Abstract
We provide a narrative review of functional neurological disorder (FND, or conversion disorder) for the emergency department (ED). Diagnosis of FND has shifted from a "rule‐out" disorder to one now based on the recognition of positive clinical signs, allowing the ED physician to make a suspected or likely diagnosis of FND. PubMed, Google Scholar, academic books, and a hand search through review article references were used to conduct a literature review. We review clinical features and diagnostic pitfalls for the most common functional neurologic presentations to the ED, including functional limb weakness, functional (nonepileptic) seizures, and functional movement disorders. We provide practical advice for discussing FND as a possible diagnosis and suggestions for initial steps in workup and management plans.
- Subjects
DIAGNOSIS of neurological disorders; HOSPITAL emergency services; EXTREMITIES (Anatomy); MOVEMENT disorders; MUSCLE weakness; SOMATOFORM disorders; SEIZURES (Medicine); SYMPTOMS
- Publication
Academic Emergency Medicine, 2021, Vol 28, Issue 6, p685
- ISSN
1069-6563
- Publication type
Article
- DOI
10.1111/acem.14263