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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:
There are many different functional disorder diagnoses that might be given depending on the symptom or syndrome that is most troublesome. There are many examples of symptoms that individuals may experience; some of these include persistent or recurrent pain, fatigue, weakness, shortness of breath or bowel problems.
In primary movement disorders, the abnormal movement is the primary manifestation of the disorder. In secondary movement disorders, the abnormal movement is a manifestation of another systemic or neurological disorder. [3] Treatment depends upon the underlying disorder. [4]
Ideational apraxia is a condition in which an individual is unable to plan movements related to interaction with objects, because they have lost the perception of the object's purpose. [2] Characteristics of this disorder include a disturbance in the concept of the sequential organization of voluntary actions.
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