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32 results

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  • The role of neuropsychology in the care of patients with functional neurological symptom disorder

  • Ryan Van Patten, Kristen Mordecai, W. Curt LaFrance, Jr
  • Journal:
    Journal of the International Neuropsychological Society / Volume 30 / Issue 7 / August 2024
    Published online by Cambridge University Press:
    30 May 2024, pp. 710-717
    • Article
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  • Objective:

    Functional neurological symptom disorder (FNSD) is a neuropsychiatric condition characterized by signs/symptoms associated with brain network dysfunction. FNSDs are common and are associated with high healthcare costs. FNSDs are relevant to neuropsychologists, as they frequently present with chronic neuropsychiatric symptoms, subjective cognitive concerns, and/or low neuropsychological test scores, with associated disability and reduced quality of life. However, neuropsychologists in some settings are not involved in care of patients with FNSDs. This review summarizes relevant FNSD literature with a focus on the role of neuropsychologists.

    Methods:

    A brief review of the literature is provided with respect to epidemiology, public health impact, symptomatology, pathophysiology, and treatment.

    Results:

    Two primary areas of focus for this review are the following: (1) increasing neuropsychologists’ training in FNSDs, and (2) increasing neuropsychologists’ role in assessment and treatment of FNSD patients.

    Conclusions:

    Patients with FNSD would benefit from increased involvement of neuropsychologists in their care.

  • Chapter 10 - Traumatic Brain Injury and Psychogenic Nonepileptic Seizures

  • Edited by Marco Mula, St George's Hospital Medical School, University of London
  • Book:
    Post-traumatic Epilepsy
    Published online:
    10 August 2021
    Print publication:
    26 August 2021, pp 140-148

  • Summary

    Psychogenic nonepileptic seizures (PNES) are paroxysms of altered sensory, cognitive, and/or motor manifestations with or without alteration of consciousness that may resemble epileptic seizures, but do not originate from epileptiform brain activity. One framework conceives PNES as arising from a biopsychosocial, multifactorial etiologic model. An unexpectedly high co-occurrence rate of PNES and mild traumatic brain injury (mTBI) has been reported. A causal relationship may be possible in many cases. In applying the biopsychosocial framework, this review discusses how TBI may subserve contributing roles as Predisposing, Precipitating, and Perpetuating factors in the development of PNES.

Gates and Rowan's Nonepileptic Seizures
  • 4th edition
  • Edited by W. Curt LaFrance, Jr, Steven C. Schachter
  • Published online:
    18 May 2018
    Print publication:
    03 May 2018
  • Patients with nonepileptic seizures (NES) frequently present in neurology, psychiatry, psychology, and emergency departments. The disorder has been well-documented in the medical literature, and much is known about the phenomenology, ictal semiology, neurologic signs, psychiatric comorbidities, neuropsychological testing, and psychosocial aspects. Since the publication of the third edition in 2010, knowledge of treatments for NES has grown and new data have become available. Fully updated to reflect these developments, this fourth edition brings together the current knowledge of NES treatments, drawing on the experience of an international team of authors. An accompanying website features video-EEGs of seizures and videos of patient-clinician interactions, which will help readers with both diagnostic and management decisions. Tables clearly illustrating the differential diagnosis of various nonepileptic events give readers quick reference guides to aid diagnostic assessment. A valuable resource for neurologists, psychiatrists, psychologists, and any clinicians who encounter NES in their practice.

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