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Functional neurological disorder: Practical management.

Barbara A Dworetzky1, Gaston Baslet2

  • 1Brigham and Women's Hospital, Mass General Brigham, Department of Neurology, Harvard Medical School, Boston, USA.

Neurotherapeutics : the Journal of the American Society for Experimental Neurotherapeutics
|May 21, 2025
PubMed
Summary
This summary is machine-generated.

Functional Neurological Disorder (FND) is a common, disabling neurological condition. Research shows brain network abnormalities are key, and diagnosis requires specific criteria for effective management.

Keywords:
ConversionDissociativeFNDFunctional neurological disorderPsychogenic

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Area of Science:

  • Neurology
  • Neuroscience
  • Clinical Medicine

Background:

  • Functional Neurological Disorder (FND) is a prevalent and disabling condition across various clinical settings.
  • It presents with diverse subtypes, most commonly seizure and motor/movement disorders.
  • FND is associated with significant healthcare utilization, costs, and often leads to chronic disability.

Purpose of the Study:

  • To provide a practical overview of diagnosing and managing Functional Neurological Disorder (FND).
  • To highlight the role of brain network abnormalities in FND pathophysiology.
  • To emphasize evidence-based treatments and multidisciplinary care approaches.

Main Methods:

  • Review of current research on FND pathophysiology, particularly brain network activity.
  • Analysis of diagnostic criteria, including common pitfalls in clinical history taking.
  • Synthesis of expert consensus recommendations and evidence-based treatment strategies.

Main Results:

  • Abnormalities in brain network activity are implicated in the pathophysiology of FND.
  • Accurate diagnosis relies on positive criteria and careful clinical assessment.
  • Evidence-based treatments and multidisciplinary teams are crucial for optimal patient outcomes.

Conclusions:

  • Effective management of FND requires a thorough understanding of its pathophysiology and diagnostic nuances.
  • Multidisciplinary collaboration is essential for improving outcomes in patients with FND.
  • Further research is needed to advance the care and understanding of this complex disorder.