Functional Neurological Disorder

FUNCTIONAL NEUROLOGICAL DISORDER/CONVERSION

Despite FND being the 2nd most common reason for neurological outpatient visits after headache/migraine, its still remains very unknown and understood.   It bridges between Neurology and Psychiatry and is a Neuropsychiatric based Disorder

The condition is triggered by a physical, emotional, traumatic or stressful event to themselves or someone they care for. FND is functional rather than damage to the brain’s structure. However, the symptoms cause significant distress or problems functioning.

Early diagnosis, treatment and recovery is dependent on education about the condition to both the patient and there companion eg. husband, mother, friends etc.

Symptoms can vary in severity and may come and go and be in persistent:

  • Feeling of Weakness or paralysis (numbness and tingling)
  • Abnormal movement, such as tremors or difficulty walking/balance
  • Dissociative Seizures or episodes of shaking and apparent loss of consciousness 
  • Speech problems (slurred or Inability)
  • Vision problems (double vision or blindness)
  • Hearing problems or deafness

 

The FND program consists of a 1.5 hour initial evaluation which includes a Computerized Balance Testing, Neurological exam, Cognitive Exam, and a computerized vestibular test; VNG.  An individualized treatment plan for each patient will then be developed based on their symptoms and diagnostic results.

TREATMENT:

  • Pons stimulation
  • Vagus nerve stimulation
  • Trigeminal stimulation
  • Vestibular Rehab
  • Neuro Sensorimotor Integrator
  • Cognitive rehab
  • Balance and gait training
  • Interactive Metronome

 

Patient with FND who was wheelchair bound when arrived is performing a gait training obstacle course forward and back with different surfaces. A mirror is placed in from of her to give her brain more feedback.

FND patient working on balance, cognition, reaction speed/processing and speech. She is using the Fitlights.

Patient with FND on Interactive Metronome to practice smoothing out her movements. She is able to stop her arm truncal and head “tremors“.