scholarly journals Functional neurological symptoms: Optimising efficacy of inpatient treatment and preparation for change using the Queen Square Guided Self‐Help

2021 ◽  
Author(s):  
Susan Humblestone ◽  
Jacob Roelofs ◽  
Caroline Selai ◽  
Michael Moutoussis
Keyword(s):  
Inpatient Treatment ◽  
Neurological Symptoms ◽  
Self Help ◽  
Functional Neurological Symptoms

scholarly journals Queen Square Guided Self Help for Functional Neurological Symptom Disorder

2021 ◽  
Author(s):  
Sue Humblestone ◽  
Jacob Roelofs ◽  
Caroline Selai ◽  
Michael Moutoussis
Keyword(s):  
Goal Setting ◽  
Inpatient Treatment ◽  
Online Video ◽  
National Hospital ◽  
Self Help ◽  
Materials Used ◽  
E Mail ◽  
Functional Neurological Symptoms ◽  
Functional Neurological Symptom Disorder ◽  
Objective Functional

Abstract Objective: Functional Neurological Symptoms (FNS) are disabling symptoms without macro-structural cause. While inpatient treatment confers important benefits, it is resource intensive and hence it is important to optimize its efficiency. Methods: We developed a brief, internet-based preparatory therapy based on psychoeducation and CBT, termed the Queen Square Guided Self-help (QGSH) to maximize the efficacy of the inpatient FNS treatment at the National Hospital for Neurology and Neurosurgery. Results: The QGSH aims to ensure that prior to admission the patient understands 1) The diagnosis of FNS , 2) The five areas CBT model and 3) The use of Goal setting in rehabilitation. It has now run since 2017 and 191 patients have taken part in the inpatient FNS program, with 122 of these have participated in the QGSH. It runs for up to twelve weeks and includes original videos and patient worksheets, as well as signposting to existing published resources. Information is sent weekly by e-mail and content is delivered in the form of eleven modules built around online video sessions.Conclusion: We believe that the set of materials used in QGSH has the potential to benefit patients with FNS and can support clinicians wishing to develop their expertise. It could help with the development of new FNS services, and we are in the process of developing it into a standalone service. We hope that the experience of the Queen Square team can be used to help patients and clinicians to improve the provision of FNS services.

#3119 Diagnosis and management of functional neurological symptoms: Saudi Arabia experience

2021 ◽  
Vol 92 (8) ◽  
pp. A13.1-A13
Author(s):  
Lujain Khoja ◽  
Abeer Khoja ◽  
Saeed Shabaan ◽  
Haythum Tayeb
Keyword(s):  
Saudi Arabia ◽  
Conversion Disorder ◽  
Cross Sectional Study ◽  
Neurological Symptoms ◽  
Kingdom Of Saudi Arabia ◽  
Cross Sectional ◽  
Brain Functioning ◽  
Target Populations ◽  
Functional Neurological Symptoms ◽  
Dutch Experience

ObjectivesTo explore the opinion of todays neurologist and psychiatrist in the kingdom of Saudi Arabia regarding pathogenesis, diagnosis, treatment and outcome. It is a replication for Dutch experience with Functional Neurological symptoms Disorder (FND).MethodsA multi-centres Cross-sectional study was conducted in Saudi Arabia started from November 2019 and still ongoing. The target populations were a qualified psychiatrists or neurologists. Data were collected through an electronic questionnaire.ResultsThere were 70 respondents, 37.1% were female and 62.9% males. A 15.5% were Neurologists and 72.4% psychiatrists. Three questionnaires were taken out due to incompletion error. Most neurologists and psychiatrists believed that FND is a disorder of functioning of the nervous system together with psychogenic factors. However, 100% of psychiatrist believed that a prior psychological stress is a cause of the disorder (among other causes) while 86.84% of neurologists. Also found that, a 71% of patients who referred to neurologist were evaluated initially by a general practitioner, while 85% of the patients who referred to psychiatrist; were evaluated by neurologists. Eventually, most of the neurologists and the psychiatrists diagnosed patients by conversion disorder (13/38 of neurologist and 13/20 of psychiatrists).ConclusionOur preliminary conclusion is comparable for Dutch experience that is not considered purely a psychiatric disorder and counted disordered brain functioning together with psychogenic factors responsible for FNS. However, the majority of the psychiatrists in our study diagnose FND as conversion disorder.

Treatment of Functional Neurological Symptoms with Transcranial Magnetic Stimulation: A Novel Approach

2021 ◽  
Vol 51 (12) ◽  
pp. 579-581
Author(s):  
Marshall Steele ◽  
Alan Mayfield ◽  
Joanna Galati ◽  
Steven Galati
Keyword(s):  
Transcranial Magnetic Stimulation ◽  
Magnetic Stimulation ◽  
Neurological Symptoms ◽  
Novel Approach ◽  
Functional Neurological Symptoms

scholarly journals Functional neurological symptoms masquerading as Wernicke encephalopathy following bariatric surgery

2019 ◽  
Vol 32 (4) ◽  
pp. 607-609
Author(s):  
Andrew M. Kiselica ◽  
Sabra Rosen ◽  
Jared F. Benge
Keyword(s):  
Bariatric Surgery ◽  
Neurological Symptoms ◽  
Wernicke Encephalopathy ◽  
Functional Neurological Symptoms

292 Mapping patient pathways for acute functional neurological symptoms

2018 ◽  
Vol 89 (10) ◽  
pp. A45.3-A46
Author(s):  
Southall Clea ◽  
Haley Samantha ◽  
Williams Stefan ◽  
Graham Christopher D ◽  
Alty Jane ◽  
...  
Keyword(s):  
Care Pathway ◽  
Healthcare Utilisation ◽  
Real Data ◽  
Neurological Symptoms ◽  
Teaching Hospitals ◽  
Service Improvement ◽  
Healthcare Burden ◽  
Mapping Software ◽  
Patient Pathways ◽  
Functional Neurological Symptoms

IntroductionPatients with Functional Neurological Symptoms (FNS) can present acutely, but many hospitals lack specific pathways or services for them. Outpatient FNS cohorts have been studied, but there is little data regarding acute FNS to inform service improvement.MethodOver an 8 month period at Leeds Teaching Hospitals NHS Trust (UK), the on-call neurology and stroke teams were telephoned regularly. Acute referrals with possible FNS were recorded. Electronic documentation was searched for the following events: symptoms, first presentation, diagnosis, A and E, outpatient clinic, inpatient admission, investigation, and psychological/psychiatric referral. This data was analysed with process mapping software (Fluxicon disco).ResultsWe present a dynamic care pathway map using real data, showing 205 patients with possible FNS moving through hospital services over time. Our map visualises the temporal relationships between healthcare utilisation, first presentation, diagnosis and therapy. The picture shows high healthcare burden, with incomplete and slow movement towards appropriate therapy (e.g. clear diagnosis documented in only 66%; referral to psychological therapy in 26%).ConclusionPatients with FNS are regularly referred to acute neurological services in Leeds. Our dynamic map shows a high healthcare burden, and slow or incomplete movement to appropriate care, which suggests potential targets for service improvement.

scholarly journals Variation of Functional Neurological Symptoms and Emotion Regulation with Time

2018 ◽  
Vol 9 ◽  
Author(s):  
Johanna Kienle ◽  
Brigitte Rockstroh ◽  
Johanna Fiess ◽  
Roger Schmidt ◽  
Tzvetan Popov ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Neurological Symptoms ◽  
Variation Of Functional ◽  
Functional Neurological Symptoms

Neuroimaging of Functional Neurological Symptoms

2013 ◽  
pp. 225-246
Author(s):  
Alan Carson ◽  
Mark Edwards ◽  
Jon Stone
Keyword(s):  
Neurological Symptoms ◽  
Functional Neurological Symptoms
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