Diagnostic pitfalls in functional neurological disorders
ABSTRACT The diagnosis of functional neurological disorders is a major challenge in neurologist practice. Some clinical strategies can facilitate the recognition of functional disorders, but several pitfalls make their diagnosis difficult. Here we highlight the following points of attention during e...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações
2022-08-01
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2022000700324&tlng=en |
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| author | Lucio Huebra Pimentel Filho Eduardo Genaro Mutarelli |
| author_facet | Lucio Huebra Pimentel Filho Eduardo Genaro Mutarelli |
| author_sort | Lucio Huebra Pimentel Filho |
| collection | DOAJ |
| description | ABSTRACT The diagnosis of functional neurological disorders is a major challenge in neurologist practice. Some clinical strategies can facilitate the recognition of functional disorders, but several pitfalls make their diagnosis difficult. Here we highlight the following points of attention during evaluation of patients with functional disorder: not all bizarre behavior is functional; not every event triggered by an emotional factor is a functional disorder; not every topographic incongruity is a functional disorder; patients may present functional and organic symptoms at the same time; psychiatric comorbid condition is not always evident in the history of a functional disorder; problematic communication at the time of diagnosis can compromise treatment and prognosis. In conclusion, we emphasize that special attention to these possible pitfalls facilitate the correct diagnosis and management of functional neurological disorders. |
| format | Article |
| id | doaj-art-e1c612724f3f43ae9c76f19545bce7e4 |
| institution | OA Journals |
| issn | 1678-4227 |
| language | English |
| publishDate | 2022-08-01 |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-e1c612724f3f43ae9c76f19545bce7e42025-08-20T02:04:21ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272022-08-01805 suppl 132432710.1590/0004-282x-anp-2022-s120Diagnostic pitfalls in functional neurological disordersLucio Huebra Pimentel Filhohttps://orcid.org/0000-0002-1543-0711Eduardo Genaro Mutarellihttps://orcid.org/0000-0003-3859-4150ABSTRACT The diagnosis of functional neurological disorders is a major challenge in neurologist practice. Some clinical strategies can facilitate the recognition of functional disorders, but several pitfalls make their diagnosis difficult. Here we highlight the following points of attention during evaluation of patients with functional disorder: not all bizarre behavior is functional; not every event triggered by an emotional factor is a functional disorder; not every topographic incongruity is a functional disorder; patients may present functional and organic symptoms at the same time; psychiatric comorbid condition is not always evident in the history of a functional disorder; problematic communication at the time of diagnosis can compromise treatment and prognosis. In conclusion, we emphasize that special attention to these possible pitfalls facilitate the correct diagnosis and management of functional neurological disorders.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2022000700324&tlng=enClinical DiagnosisSomatoform DisordersDiagnostic Errors |
| spellingShingle | Lucio Huebra Pimentel Filho Eduardo Genaro Mutarelli Diagnostic pitfalls in functional neurological disorders Arquivos de Neuro-Psiquiatria Clinical Diagnosis Somatoform Disorders Diagnostic Errors |
| title | Diagnostic pitfalls in functional neurological disorders |
| title_full | Diagnostic pitfalls in functional neurological disorders |
| title_fullStr | Diagnostic pitfalls in functional neurological disorders |
| title_full_unstemmed | Diagnostic pitfalls in functional neurological disorders |
| title_short | Diagnostic pitfalls in functional neurological disorders |
| title_sort | diagnostic pitfalls in functional neurological disorders |
| topic | Clinical Diagnosis Somatoform Disorders Diagnostic Errors |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2022000700324&tlng=en |
| work_keys_str_mv | AT luciohuebrapimentelfilho diagnosticpitfallsinfunctionalneurologicaldisorders AT eduardogenaromutarelli diagnosticpitfallsinfunctionalneurologicaldisorders |