Functional neurological disorders (2)

Question 1

What is it?

How does it present?

What are its differentials?

Answer 1

➊ Neurological symptoms that aren’t associated with an organic cause

➋ • Limb weakness
• Blackouts
• Movement disorders e.g. tremors, dystonia (spasms), myoclonus (jerks)
• Sensory dysfunction
• Loss of/Double vision
• Dysarthria

➌ • MS
• Parkinson’s
• Myasthenia Gravis

Question 2

How is it investigated?

How is it managed?

Answer 2

➊ • History and examination
• Investigations to exclude organic causes

➋ MDT approach and symptomatic relief