Download FND app Android Aapp IoS App
FND Links Feedback Donate Language
  • English
Home / Causes / Ten Myths of FND

Ten Myths of FND

This is a tweet thread I wrote in May 2020 to support a paper I wrote for the European Journal of Neurology about FND. I hope you find it useful as well

“Ten Myths about FND” just out in Eur Journal of Neurology  @SarahLidstone@rmmaraujo, myself and @basbloem@EANeurology. People with FND come up against a lot of these during diagnosis and treatment.

Functional Neurological Disorder is still emerging from a long period of scientific and clinical neglect. Many clinicians haven’t caught up with recent advances in practice, research or attitudes

We know its frustrating when papers are behind paywalls – so we thought we’d give you a rundown of our myths in an “FND myth tweetorial”. 

Myth 1: FND is a diagnosis of exclusion. No! It’s a “rule in” diagnosis based on typical signs such as Hoover’s sign or tremor entrainment. Figure from… 4/

From Current Concepts in the Diagnosis and Treatment of Functional Neurological Disorders

Myth 2: Patients have either FND or another neurological disorder. No! Having another condition like epilepsy or Parkinson’s disease is one of the strongest risk factors (about 10-20%). 

Myth 3: A bizarre presentation indicates FND. No! There are many examples of unusual presentations in patients with other neurological conditions. FND is not inherently more bizarre.  

Myth 4: Different phenotypes of FND indicate different disorders. No (sort of )! Although a seizure is a very different symptom to paralysis there are shared mechanisms and comorbidities such as pain, fatigue between all patients with FND. 

Myth 5: FND symptoms are voluntary. No! FND symptoms are involuntary; patients are not “putting them on” and feigning is rare. See neurophysiological studies, differential recovery in trials, consistent presentations comorbidities across cultures and across time. 

Myth 6: There is no role for investigations in the diagnosis of FND. No! Other neurological conditions are such a strong risk factor for FND – think – what else could this patient have? Some investigations such as Tremor analysis can help with positive diagnosis. 

Myth 7: There is less harm in missing a diagnosis of FND than missing another neurological disease. No! Any misdiagnosis is distressing but erroneously diagnosing FND, a potentially treatable condition, as another neurological condition can be as harmful as the reverse. 

Myth 8: FND is exclusively a psychological problem. No! Psychological factors are one of many possible risk factors for FND and should not be considered the sole etiological cause. For some they are the most important, for others they aren’t relevant. 

Myth 9: The prognosis of FND is usually good. No! Patients with FND have disability and impaired quality of life as patients with other neuro conditions. Some have complete recovery others long term problems. Dont just assume, ‘the patient will probably just get better’. 

Myth 10: The treatment of FND is SOLELY psychological. No (sort of !). FND needs individualised multidisciplinary treatment. Education, physical + psychological rehabilitation all can have a role. Psychological therapy can be the main treatment for some people with FND especially seizures. 

Attitudes and practices toward FND are changing but the many misconceptions that surround it continue to obstruct good medical care for these patients. 

Thanks @basbloem for having the idea for this paper, @SarahLidstone for leading the writing and @rmmaraujo for coauthoring. END! 

best weight loss programs is keto diet the same as atkins keto diet guidelines adderall diet pills medical weight loss costs figure weight loss edgewood kentucky eat more loss weight how many reps should i do to lose weight serotonin weight loss healthy diet acupuncture for weight loss nyc keto diet and powerlifting smart coffee weight loss reviews keto easy diet plan how to lose weight with water keto diet how much weight loss weight loss message board what are the best weight loss pills over the counter best weight loss shakes 2021 buy ephedr diet pills weight loss percentage formula weight loss pills that really work over the counter diet pills that suppress appetite how to lose weight from ur face pro trim diet pills valley medical weight loss diet pills energy what helps you lose weight fast water pills good for weight loss weight loss rescourses keto diet gravy vegetables you can eat on keto diet pcos birth control pills weight loss weight loss graft weight loss pills over the counter at walmart should i get weight loss surgery best and effective weight loss pills levothyroxine and weight loss splenda diet pills fruits keto diet

cbd oil for add best kind of cbd oil for basal cell hemp omega 3 vs fish oil cbd oil 300 nutr pure dangers of cannabis oil palmetto harmony 5 ml cbd oil thc content taking cbd for anxiety native cbd oil extracting cbd oil from hemp will cbd oil make you test positive hemp oil treatment for lung cancer hempworx cbd oil dosage for vasculitis aldi cbd oil buyer charlottes web cbd oil for pets cbd oil distributors los angeles cbd oil rash where to buy cbd oil in sheboygan wi cbd oil guide wikipedia cbd oil norcross ga free trial cbd oil young living bursitis in arm cbd oil strength doctor prescription for cbd oil newport ca will cbd oil show up on a drug test as thx is cbd oil detectable in urine cbd oil vapor for anxiety and stress without thc is cbd oil also hemp seed oil holistic pharmacy with cbd oil spring texas can cbd oil cause headaches does cbd oil give more sexualsl stamina chromatic analysis of cbd oil dr sanjay gupta on cbd oil colorado cbd oil stanley brothers in colorado a touch above cbd oil does cbd oil help with osteoarthritis what does the 2500 mg of cbd oil mean cbx cbd oil can you take metforman with cbd oil will tsa allow cbd oil cbd oil for pain how to take for pain cannabis coconut oil oven

best sex pills for men target male enhancement pills getting viagra does marijuana increase libido test x180 testosterone booster reviews jevil penis enlargement pills where to get cialis do enhancement pills work viagra on a pole match xxtreme boost male enhancement pills viagra hardon reddit bluechew how much does penis enlargement surgery cost male enhancement otc pills at gnc can viagra be bought over the counter what can i take to increase testosterone most popular testosterone booster a penis enlargement xtend male enhancement review low libido icd 10 vmax ed pills best testosterone booster on market sex tablets name for man all natural ed pills can i buy male enhancement pills at walmart pills to raise your testosterone rock it man male enhancement buying meds online reviews chinese medicine for male enhancement coke and viagra how to make sexually strong fukima male enhancement reviews mustard seed male enhancement pills do they sale male enhancement pills black ant king male enhancement pills male enhancement brands best male enhancement pills on ebay do any penis pills actually work weider testosterone pills penis enlargement best

choosing the best replacement windows home window repair dublin st petersburg fl home window repair window glass replacement san bernardino home window replacement with payment by paypal window installation minnesota cost of replacement windows how to repair window sash springs cost to replace window screens windows replacement cleveland double hung wood replacement windows how to install pocket replacement windows cost to replace old windows windows replacement austin windows rt surface 32gb screen replacement replacement window norfolk replacement windows sunroom energy efficient windows science project replacement windows for ranch style homes replace bathroom window window balances parts replacement window door repair window replacement brighton window repair redwood city casement window replacement operators scion tc back window replacement casement window stay installation window screen replacement edmonton winteq window installation system window replacement amarillo memphis window repair best window replacement companies slide up window repair window repair in indianapolis window blinds repair kit windows surface rt battery replacement window 7 pc repair tool window repair tacoma house window replacement frankford windows jalousie replacement