Functional neurological disorder during the perinatal period: A case report

Area of Science:

• Neuroscience
• Psychiatry
• Obstetrics

Background:

• Functional neurological disorder (FND) is a rare neuropsychiatric condition affecting voluntary motor or sensory functions without a clear neurological cause.
• FND presentation in pregnancy and postpartum periods is uncommon.

Observation:

• A 32-year-old woman presented with unexplained medical symptoms during her perinatal period, exhibiting 'la belle indifference' and a history of vague somatic complaints.
• The patient experienced significant psychosocial distress, including personal, marital, and family issues, impacting her maternal confidence.
• A multidisciplinary team diagnosed FND after longitudinal assessment, noting normal investigations and significant psychological factors.

Findings:

• The diagnosis of FND was confirmed by a multidisciplinary team including neurologists, physicians, and psychiatrists.
• Psychological interventions included psychoeducation, supportive psychotherapy, stress management, and parental support.
• Open communication about the diagnosis and treatment plan was crucial for patient understanding and acceptance.

Implications:

• Achieving functional and psychological recovery in FND is possible with a strong therapeutic alliance.
• Early diagnosis and acceptance of the FND diagnosis are vital for successful patient outcomes.
• This case highlights the importance of a comprehensive, multidisciplinary approach to managing FND in the perinatal period.