Cited by 169Psychosomatic Disorders and Their TreatmentsCardiovascular Syncope and Autonomic DisordersFibromyalgia and Chronic Fatigue Syndrome Research

A practical review of functional neurological disorder (FND) for the general physician

Open access
Bennett, Karina, Diamond, Clare, Hoeritzauer, Ingrid, Gardiner, Paula, McWhirter, Laura, Carson, Alan, Stone, Jon·2021·Clinical Medicine

Abstract

We present a practical overview of functional neurological disorder (FND), its epidemiology, assessment and diagnosis, diagnostic pitfalls, treatment, aetiology and mechanism. We present an update on functional limb weakness, tremor, dystonia and other abnormal movements, dissociative seizures, functional cognitive symptoms and urinary retention, and 'scan-negative' cauda equina syndrome. The diagnosis of FND should rest on clear positive evidence, typically from a combination of physical signs on examination or the nature of seizures. In treatment of FND, clear communication of the diagnosis and the involvement of the multidisciplinary team is beneficial. We recommend that patients with FND are referred to specialists with expertise in neurological diagnosis. FND is a common presentation in emergency and acute medical settings and there are many practical elements to making a positive diagnosis and communication which are useful for all physicians to be familiar with.

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Crossref · 10.7861/clinmed.2020-0987

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  • The past decades have seen significant efforts by clinicians and academics involved in the assessment and treatment of FND generally to assist colleagues in primary and secondary care to identify and manage patients with these conditions.

    “The past decades have seen significant efforts by clinicians and academics involved in the assessment and treatment of FND generally to assist colleagues in primary and secondary care to identify and manage patients with these conditions (34, 35, 36).”

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1 of the 52 references couldn’t be matched to a known paper.

Research works printed but not linked: 2

  1. Carson A, Lehn A. Epidemiology. In: Hallett M, Stone J, Carson A (eds). Handbook of clinical neurology: Vol 139: Functional neurologic disorders. Elsevier, 2016:47-60.
  2. Hallett M, Stone J, Carson A (eds). Handbook of clinical neurology: Vol 139: Functional neurologic disorders. Elsevier, 2016.

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Authors
Bennett, K., Diamond, C., Hoeritzauer, I., Gardiner, P., McWhirter, L., Carson, A., & Stone, J.
Affiliations
  • Edinburgh Royal Infirmary (GB)
  • University of Edinburgh (GB)
Venue
Clinical Medicine
Publisher
Elsevier BV
Published
2021-01
Volume
21
Issue
1
Pages
28-36
ISSN
1470-2118 (ISSN-L)
OpenAlex
W3123764886
Cited by
169
References
52
Citations by year
2026: 40 · 2025: 37 · 2024: 43 · 2023: 27 · 2022: 14 · 2021: 8
FWCI
4.10
Type
journal article
Language
en
Open access
Locations
  • Clinical Medicine (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, other-oa)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Health Sciences › Medicine › Surgery › Cardiovascular Syncope and Autonomic Disorders
  • Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
Keywords
conversion disorder, functional tremor, functional dystonia, psychogenic non-epileptic seizures, urinary retention, cauda equina syndrome, diagnostic pitfalls, etiology, multidisciplinary management, emergency medicine
MeSH terms
Conversion Disorder, Emergency Service, Hospital, Humans, Nervous System Diseases, Seizures, Tremor, General Practitioners

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