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Subsets of functional neurological disorders include functional neurologic symptom disorder (FNsD) (conversion disorder), functional movement disorder, and functional seizures. The diagnosis is made based on positive signs and symptoms in the history and examination during consultation of a neurologist. [3]
Treatment to control the chorea and dyskinesia in the early stages of DTDS is done with tetrabenazine and benzodiazepines. The dystonia is more difficult to control and the first-line agents include pramipexole and ropinirole ; adjuncts include trihexyphenidyl , baclofen , gabapentin , and clonidine for severe dystonia, and chloral hydrate and ...
Conversion disorder is now partly contained under functional neurological symptom disorder (FNsD). In cases of conversion disorder, there is a psychological stressor. The diagnostic criteria for functional neurologic symptom disorder, as set out in DSM-5, are:
Functional disorders are a group of recognisable medical conditions which are due to changes to the functioning of the systems of the body rather than due to a disease affecting the structure of the body. [1] Functional disorders are common and complex phenomena that pose challenges to medical systems.
Motor disorders are disorders of the nervous system that cause abnormal and involuntary movements. They can result from damage to the motor system. [1]Motor disorders are defined in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) – published in 2013 to replace the fourth text revision – as a new sub-category of neurodevelopmental disorders.
Movement disorders are clinical syndromes with either an excess of movement or a paucity of voluntary and involuntary movements, unrelated to weakness or spasticity. [1] Movement disorders present with extrapyramidal symptoms and are caused by basal ganglia disease . [ 2 ]
Akathisia (IPA: /æ.kə.ˈθɪ.si.ə/) is a movement disorder [5] characterized by a subjective feeling of inner restlessness accompanied by mental distress and/or an inability to sit still. [ 6 ] [ 4 ] Usually, the legs are most prominently affected. [ 2 ]
Clinical characteristics such as age of onset, body distribution, nature of the symptoms, and associated features such as additional movement disorders or neurological symptoms, and; Cause (which includes changes or damage to the nervous system and inheritance). [4] Physicians use these classifications to guide diagnosis and treatment.
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