Department of Clinical Neurosciences, Faculty of Medicine, University of Calgary, Calgary, AB, Canada.
Neuroscience Research Centre, Institute of Molecular and Clinical Sciences, St. George's University of London, Cranmer Terrace, London, SW17 0RE, UK.
J Neurol. 2020 Jul;267(7):2164-2172. doi: 10.1007/s00415-020-09772-w. Epub 2020 Mar 19.
Functional neurological disorder (FND) is a common cause of persistent and disabling neurological symptoms. These symptoms are varied and include abnormal control of movement, episodes of altered awareness resembling epileptic seizures and abnormal sensation and are often comorbid with chronic pain, fatigue and cognitive symptoms. There is increasing evidence for the role of neurologists in both the assessment and management of FND. The aim of this review is to discuss strategies for the management of FND by focusing on the diagnostic discussion and general principles, as well as specific treatment strategies for various FND symptoms, highlighting the role of the neurologist and proposing a structure for an interdisciplinary FND service.
功能性神经障碍（FND）是一种常见的持续性和致残性神经症状的原因。这些症状多种多样，包括运动控制异常、类似癫痫发作的意识改变发作以及异常感觉，并且常伴有慢性疼痛、疲劳和认知症状。越来越多的证据表明神经病学家在 FND 的评估和管理中都具有重要作用。本综述的目的是通过重点讨论诊断讨论和一般原则以及各种 FND 症状的具体治疗策略，来讨论 FND 的管理策略，突出神经病学家的作用，并提出一个跨学科 FND 服务的结构。
