Inpatient treatment of functional motor symptoms: a long-term follow-up study.

Journal of Neurology
Tabish A SaifeeMark J Edwards

Abstract

Functional neurological disorders are common, disabling and often difficult to treat. There is little consensus on the best approach to management. Multidisciplinary inpatient approaches are employed in some centres for patients with severe refractory symptoms, but their efficacy and, in particular, long-term outcomes are uncertain. We conducted a study using questionnaires completed retrospectively by patients treated at a specialised multidisciplinary inpatient programme at the National Hospital for Neurology and Neurosurgery. Consecutive patients with functional motor symptoms admitted to this centre between 2006 and 2008 were invited to participate. Questionnaires were sent at least 2 years after discharge. We contacted 32 patients, and 26 responded. The majority had symptoms for at least 3 years prior to admission; 58 % of patients reported benefit from the programme on discharge. This self-reported benefit to symptoms and function was after a 2-year follow-up period in the majority of patients, but return to work or cessation of health-related financial benefits was uncommon even in those who improved. Seventy-four percent of those questioned stated they would recommend the programme to others with similar symptoms. Attri...Continue Reading

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Citations

Dec 21, 2013·Neurotherapeutics : the Journal of the American Society for Experimental NeuroTherapeutics·Luciana Ricciardi, Mark J Edwards
Feb 26, 2014·Current Treatment Options in Neurology·Jeannette M GelauffJon Stone
Mar 5, 2014·The British Journal of Psychiatry : the Journal of Mental Science·Jon Stone
Aug 7, 2013·Journal of Psychosomatic Research·Glenn NielsenMark J Edwards
Dec 10, 2014·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·B DemartiniM J Edwards
Jul 22, 2015·Journal of Neurology·José Fidel Baizabal-Carvallo, Joseph Jankovic
Sep 28, 2015·Journal of Neurology·Alexander LehnJon Stone
Sep 23, 2014·Journal of Neurology·Benedetta DemartiniEileen Joyce
Oct 15, 2013·Journal of Neurology, Neurosurgery, and Psychiatry·Ruaidhri McCormackAnthony S David
Jun 8, 2017·Current Opinion in Neurology·Anita Barbey, Selma Aybek
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Aug 31, 2019·The Journal of Neuropsychiatry and Clinical Neurosciences·Nicola O'ConnellAnthony S David
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Aug 18, 2021·Movement Disorders Clinical Practice·Tamara SchmidtAnne Weissbach

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