Functional Neurology

Question 1

Functional disorder is

Answer 1

Problem with the way people can access or control their body normally, rather than being due to disease or damage to brain or nerves

Question 2

Hemiparesis is

Answer 2

Pain down one side

Unilateral pain

Question 3

What is needed for functional weakness

Answer 3

Attention

Question 4

Good evidence of test for functional disorder

Answer 4

Hoovers sign

Question 5

Epileptic seizures are how long

Answer 5

1-2 mins

Question 6

Dissociative condition episode is how long

Answer 6

Variable

Question 7

Key features of dissociative condition

Answer 7

Thrashing 70% vs fall down and lie still 30%

Long duration

Eyes closed, resisting eye opening

Partially retained awareness during generalised seizure

Question 8

Thins that occur in dissociative seizures and not I: epilepsy

Answer 8

Over 5 minutes 
Gradual onset
Fluctuating course 
Eyes and mouth closed 
Resisting eye opening 
Thrashing, violent movements 
Side to side head movements
Opisthotonus

Question 9

Aetiology of functional neurological disorder

Answer 9

Predisposing factors- trauma
Personality
Experience of illness

Precipitating factors.
Life event
Physical illness

Question 10

Absence of life event means?

Answer 10

Shouldn’t assume they don’t have FND