Functional Neurological Symptoms Flashcards
1
Q
What aspects of a history are relevant to functional neurological symptoms?
A
List all symptoms Ask about disability Onset and course Dissociate symptoms Illness beliefs Social- work, money, relationships
2
Q
What aspects of a physical examination are relevant to functional neurological symptoms?
A
Inconsistency
Positive functional signs
Absence of signs of disease
Eye movements- convergence spasm
Tremor- disappears with distraction, entrainment
Paralysis- leg dragged, hip abnormally rotated
“Fixed” dystonia
3
Q
What investigations can be useful in functional neurological symptoms?
A
MRI brain scan
Negative video EEG
Functional MRI
