Rehabilitation for motor functional neurological disorder: a follow-up study of 185 patients

Theuer, Renata Valladão; Neves, Simone Vilela Nunes; Champs, Ana Paula Silva

doi:10.1590/0004-282x20200009

Cited by 3 publications

(2 citation statements)

References 16 publications

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“…Any condition of the nerve system is referred to as a neurological disorder. (9,10) Conversion disorder is a very rare condition. Although the frequency in an individuals may be minor, misdiagnosis of major neurologic disorders as conversion disorder is a significant challenge in the field of medical mistakes.…”

Section: Resultsmentioning

confidence: 99%

Frequency of Neurological Disorders Misdiagnosed as Conversion Disorder in our Local Population

Butt¹,

Jabbar²,

Akhtar³

et al. 2022

PJMHS

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Aims and Objectives: To determine the frequency of Neurological Disorders, Misdiagnosed as Conversion Disorder in our local population Study Design: Cross sectional study Place and Duration of Study: Study was conducted at Psychiatry Department, Akhtar Saeed Medical College & Hospital, Lahore Pakistan, from June, 2021 to December, 2021. Data Collection: After meeting the inclusion criteria 115 patients were enrolled. CT brain, MRI brain and EEG were carried out to assess neurological symptoms in patients admitted with a diagnosis of conversion disorder. Misdiagnosis was labeled as per operational definition. All the data analyzed on SPSS version 23. Results: In this study the mean age was (27.03±11.95) years, male to female ratio was 0.36:1. The CT and MRI diagnosed abnormal finding in 7(6.1%) patients, while EEG was abnormal in 2(1.7%) of these 7 patients, resulting in neurological disorders being diagnosed in 7(6.1%) patients. Hence, in this study misdiagnosed cases were 7(6.1%). Conclusion: This study concluded that frequency of Neurological Disorders Misdiagnosed as Conversion Disorder is 6.09% in our local population. Keywords: Conversion Disorder, Neurological disorder, EEG, MRI, CT

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Section: Resultsmentioning

confidence: 99%

Frequency of Neurological Disorders Misdiagnosed as Conversion Disorder in our Local Population

Butt¹,

Jabbar²,

Akhtar³

et al. 2022

PJMHS

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show abstract

“…This is even though the cognitive areas in the brains of patients are completely intact. However, it causes atrophy and gradually stops the voluntary muscles until their motor limbs become suspended and do not perform their vital functions [1,2]. It does not take long for the patient to become paralyzed in all his motor limbs.…”

Section: Introductionmentioning

confidence: 99%

Developing a Method for Classifying Electro-Oculography (EOG) Signals Using Deep Learning

Hossieny

Tantawi

Shedeed

et al. 2022

IJICIS

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Recently, a significant increase appears in the number of patients with severe motor disabilities even though the cognitive parts of their brains are intact. These disabilities prevent them from being able to move all their limbs except for the movement of their eyes. This creates great difficulty in carrying out the simplest daily activities, as well as difficulty in communicating with their surrounding environment. With the advent of Human Computer Interfaces (HCI), a new method of communication has been found based on determining the direction of eye movement. The eye movement is recorded by Electro-oculogram (EOG) using a set of electrodes placed around the eye horizontally and vertically. In this work, The horizontal and vertical EOG signals are filtered and analyzed to determine six eye movement directions (Right, left, up, down, center, and double blinking). The deep learning models namely Residual network and ResNet-50 network have been examined. The experimental results show that the ResNet-50 network gives the best average accuracy 95.8%.

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Panic Attack, Severe Hypophosphatemia and Rhabdomyolysis in the Setting of a Motor Functional Neurological Disorder

et al. 2023

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(1) Background: panic attack is often regarded as a benign disorder with variable physical and psychological symptoms. (2) Case Presentation: We here report the case of a 22-year-old patient known for an episode of motor functional neurological disorder a year earlier who presented a panic attack with hyperventilation causing severe hypophosphatemia and rhabdomyolysis, as well as mild tetraparesis. Electrolyte disturbances quickly resolved after phosphate substitution and rehydration. However, clinical signs suggesting a relapse of a motor functional neurological disorder appeared (improved walking with dual tasks). Diagnostic workup, including brain and spinal magnetic resonance imaging, as well as electroneuromyography and genetic testing for hypokalemic periodic paralysis, was unremarkable. Tetraparesis, lack of endurance, and fatigue eventually improved after several months. (3) Conclusions: the present case report highlights the intertwined relationship between a psychiatric disorder, leading to hyperventilation and acute metabolic disturbances, and functional neurological manifestations.

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Rehabilitation for motor functional neurological disorder: a follow-up study of 185 patients

Cited by 3 publications

References 16 publications

Frequency of Neurological Disorders Misdiagnosed as Conversion Disorder in our Local Population

Frequency of Neurological Disorders Misdiagnosed as Conversion Disorder in our Local Population

Developing a Method for Classifying Electro-Oculography (EOG) Signals Using Deep Learning

Panic Attack, Severe Hypophosphatemia and Rhabdomyolysis in the Setting of a Motor Functional Neurological Disorder

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