This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.
Functional neurologic disorders (FND) are among the most common conditions a neurologist will encounter. In 2014, after the publication of an updated Cochrane report on nonepileptic seizures (NES) concluded that there was little reliable evidence supporting any treatment modality, there was a call for further randomized controlled trials, highlighting the lack of priority given to the treatment of NES on the part of both psychiatrists and neurologists.1 Controversy exists about where patients with FND should “live” for their treatment, given a presentation that has symptoms in common with both psychiatric and neurologic disease.2 With current emphasis to rule in the diagnosis of a functional disorder, the expertise of a neurologist is needed to assess a neurologic examination and if possible to determine the non-neurologic nature of the presentation. Treatment, however, remains mainly in the hands of the psychiatrist with psychopharmacology and psychological therapies. There is growing evidence of the efficacy and feasibility of a multidisciplinary approach.3,4
Footnotes
Funding information and disclosures are provided at the end of the article. Full disclosure form information provided by the authors is available with the full text of this article at Neurology.org/cp.
See page 484
- © 2019 American Academy of Neurology
AAN Members
We have changed the login procedure to improve access between AAN.com and the Neurology journals. If you are experiencing issues, please log out of AAN.com and clear history and cookies. (For instructions by browser, please click the instruction pages below). After clearing, choose preferred Journal and select login for AAN Members. You will be redirected to a login page where you can log in with your AAN ID number and password. When you are returned to the Journal, your name should appear at the top right of the page.
AAN Non-Member Subscribers
Purchase access
The Nerve!: Rapid online correspondence
- Reader response: Functional neurologic disorders: Bringing the informal and hidden curriculum to light
- Author response: Functional neurologic disorders: Bringing the informal and hidden curriculum to light
- Reader response: Functional neurologic disorders: Bringing the informal and hidden curriculum to light
NOTE: All contributors' disclosures must be entered and current in our database before comments can be posted. Enter and update disclosures at http://submit.cp.neurology.org. Exception: replies to comments concerning an article you originally authored do not require updated disclosures.
- Stay timely. Submit only on articles published within the last 8 weeks.
- Do not be redundant. Read any comments already posted on the article prior to submission.
- 200 words maximum.
- 5 references maximum. Reference 1 must be the article on which you are commenting.
- 5 authors maximum. Exception: replies can include all original authors of the article.
- Submitted comments are subject to editing and editor review prior to posting.