Functional Neurological Disorder: Difference between revisions

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== Definition/Description  ==
== Definition/Description  ==


Conversion disorder is a rare psychodynamic occurrence that consists if the physical expression of an unconscious conflict or stress in a person’s life <ref name="Goodman">Goodman C, Fuller K. Chapter 3: Pain Types and Viscerogenic Pain Patterns. In:Differential Diagnosis for Physical Therapists: Screening for Referral. 5th Edition. St. Louis, Missouri: Saunders Elsevier; 2013:144-145</ref>. This physical expression is characterized by the presentation of signs and symptoms that are inconsistent or cannot be explained by known anatomy or physiology (DSM IV).<br>Patients that fall under this presentation, however, should not be confused with malingerers or categorized as someone feigning an illness. This population is not intentionally simulating symptoms but is genuinely experiencing them. Symptom presentation consists of the patient’s conception of a particular disease process therefore their presentation will not follow typical or expected patterns, such as dermatome or myotome changes. The physical therapist should carefully document these changes in order to recognize these indescrepencies. <ref />( DSM IV)<br>Conversion disorder is also known as “hysterical neurosis” , “conversion type”. ( DSM IV), or “functional neurological symptom disorder” <ref name="May Clinic Definition">Conversion Disorder: Definition. Mayo Clinic Website. http://www.mayoclinic.org/diseases-conditions/conversion-disorder/basics/definition/con-20029533. Accessed on March 14,2014</ref>.<br><br>
Conversion disorder is a rare psychodynamic occurrence that consists if the physical expression of an unconscious conflict or stress in a person’s life <ref name="Goodman">Goodman C, Fuller K. Chapter 3: Pain Types and Viscerogenic Pain Patterns. In:Differential Diagnosis for Physical Therapists: Screening for Referral. 5th Edition. St. Louis, Missouri: Saunders Elsevier; 2013:144-145</ref>. This physical expression is characterized by the presentation of signs and symptoms that are inconsistent or cannot be explained by known anatomy or physiology (DSM IV).<br>Patients that fall under this presentation, however, should not be confused with malingerers or categorized as someone feigning an illness. This population is not intentionally simulating symptoms but is genuinely experiencing them. Symptom presentation consists of the patient’s conception of a particular disease process therefore their presentation will not follow typical or expected patterns, such as dermatome or myotome changes. The physical therapist should carefully document these changes in order to recognize these indescrepencies. <ref name="Goodman" />( DSM IV)<br>Conversion disorder is also known as “hysterical neurosis” , “conversion type”. ( DSM IV), or “functional neurological symptom disorder” <ref name="May Clinic Definition">Conversion Disorder: Definition. Mayo Clinic Website. http://www.mayoclinic.org/diseases-conditions/conversion-disorder/basics/definition/con-20029533. Accessed on March 14,2014</ref>.<br><br>


== Prevalence  ==
== Prevalence  ==

Revision as of 00:54, 20 March 2014

Welcome to PT 635 Pathophysiology of Complex Patient Problems This is a wiki created by and for the students in the School of Physical Therapy at Bellarmine University in Louisville KY. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Definition/Description[edit | edit source]

Conversion disorder is a rare psychodynamic occurrence that consists if the physical expression of an unconscious conflict or stress in a person’s life [1]. This physical expression is characterized by the presentation of signs and symptoms that are inconsistent or cannot be explained by known anatomy or physiology (DSM IV).
Patients that fall under this presentation, however, should not be confused with malingerers or categorized as someone feigning an illness. This population is not intentionally simulating symptoms but is genuinely experiencing them. Symptom presentation consists of the patient’s conception of a particular disease process therefore their presentation will not follow typical or expected patterns, such as dermatome or myotome changes. The physical therapist should carefully document these changes in order to recognize these indescrepencies. [1]( DSM IV)
Conversion disorder is also known as “hysterical neurosis” , “conversion type”. ( DSM IV), or “functional neurological symptom disorder” [2].

Prevalence[edit | edit source]

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Characteristics/Clinical Presentation[edit | edit source]

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Associated Co-morbidities[edit | edit source]

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Medications[edit | edit source]

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Diagnostic Tests/Lab Tests/Lab Values[edit | edit source]

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Etiology/Causes[edit | edit source]

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Systemic Involvement[edit | edit source]

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Medical Management (current best evidence)[edit | edit source]

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Physical Therapy Management (current best evidence)[edit | edit source]

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Alternative/Holistic Management (current best evidence)[edit | edit source]

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Differential Diagnosis[edit | edit source]

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Case Reports/ Case Studies[edit | edit source]

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Resources
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Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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  1. 1.0 1.1 Goodman C, Fuller K. Chapter 3: Pain Types and Viscerogenic Pain Patterns. In:Differential Diagnosis for Physical Therapists: Screening for Referral. 5th Edition. St. Louis, Missouri: Saunders Elsevier; 2013:144-145
  2. Conversion Disorder: Definition. Mayo Clinic Website. http://www.mayoclinic.org/diseases-conditions/conversion-disorder/basics/definition/con-20029533. Accessed on March 14,2014