Functional Neurological disorders

Question 1

Where can FND affect?

Answer 1

Pretty much anywhere in the body, depending on the specific area.

Question 2

Is there physiological damage in fnd?

Answer 2

no, nothing that can (currently ) be picked up

Question 3

How is he diagnosis made?

Answer 3

HISTORY, a few functional tests and examinations to ensure that conditions of exclusions aren’t missed

Question 4

What is the hoovers sign and what would it show in fnd? What would you need to exclude?

Answer 4

When you lie down, hold boh heels, ask the patient to push down with both legs, tehn ask the patient to pick up the other leg.

If pathological issue, then the leg won’t push down wither time, however in fnd the leg won’ push down when being told to but will on reflex to counteract the leg up.

Question 5

WHat can help FND?

Answer 5

Talking through the condition with the patient. Letting them know that you believe them. Offering help and support to them and their families.

Question 6

Can you recover from fnd?

Answer 6

YES! May or may not relapse

Question 7

What will you find in examination:
Tremor
Consistancy
Eye movements
Paralysis
hOW TO EXPLAIN TO PATIENT

Answer 7

Tremor - stops with distraction
Inconsistant findings
Convergence spasm (eyes)
Drapped leg, hip rotation (internally/externally)
“give way weakness”

Question 8

mANAGEMENT OF FND PAIENTS

Answer 8

READ OLD NOTES to help you understand the patient

Check you haven’t missed any pathological findings.

Explain what they do and don’t have. Metaphors - hard vs soft wear

Antidepressants may help

Self help is the key to recovery