Conversion disorder: advances in our understanding

Feinstein, Anthony

doi:10.1503/cmaj.110490

Cited by 71 publications

(51 citation statements)

References 33 publications

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“…There are four varied types of CD based on clinical presentation including those with 1) sensory deficits, 2) motor deficits, 3) pseudo-seizures, and 4) a mixed presentation [16]. The common physical complaints or deficits related to CD noted in the perioperative period have included loss hemiplegia, visual loss, new-onset paralysis, aphonia, inspiratory stridor or seizures [9][10][11][12][13][14].…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and Management of Postoperative Conversion Disorder in an Adolescent Following Arthroscopic Meniscectomy

et al. 2017

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Conversion disorder (CD), also known as a functional neurological symptom disorder, is a somatoform disorder involving an unconscious, involuntary process in which psychosocial needs, conflicts, and internal stresses are expressed as somatic symptoms without an anatomical or physiological explanation. The signs and symptoms are involuntary and appear with no underlying physical cause. Various triggers and psychologic stresses may result in the sudden clinical manifestations of the disorder. We present a 14-year-old adolescent who developed a CD following anesthetic care for a partial lateral meniscectomy. Previous reports of postoperative CDs are reviewed, etiologic considerations during the postoperative period are discussed, and management options are presented.

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Section: Discussionmentioning

confidence: 99%

Diagnosis and Management of Postoperative Conversion Disorder in an Adolescent Following Arthroscopic Meniscectomy

et al. 2017

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“…However, many historical terms are now accepted as outdated. For example, until 1968 conversion symptoms were described as hysteria; now often considered pejorative in nature (Feinstein 2011).…”

Section: Diagnosis Of Fnsdmentioning

confidence: 99%

Clinical briefing: functional neurological symptom disorder

Ratcliffe

2017

British Journal of Neuroscience Nursing

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“…On the most basic level, they are understood to be neurological symptoms where there is no evident "organic" neurological lesion [2]. However this condition is clearly more than the mere absence of organic pathology, and the implicit or explicit aetiological inferences to psychiatric causes or malingering may contribute to the unhappiness many patients display when given the diagnosis [3].…”

Section: Accepted M Manuscriptmentioning

confidence: 99%

What should we say to patients with unexplained neurological symptoms? How explanation affects offence

Ding

Kanaan

2016

Journal of Psychosomatic Research

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Please cite this article as: Ding Juen Mei, Kanaan Richard Antony Alexander, What should we say to patients with unexplained neurological symptoms? How explanation affects offence, Journal of Psychosomatic Research (2016Research ( ), doi:10.1016Research ( /j.jpsychores.2016 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Tables: 3 Figures: 3 References: 27 A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT ABSTRACTObjectives: Unexplained neurological symptoms (UNS) are common presentations in neurology but there is no consensus as to what they should be called. This is important, as patient acceptance is a predictor of outcome and there is evidence that patients are unhappy with the terms used. Patient understanding of these terms may be limited, however, and, once explained, the terms may seem more or less offensive. We sought to elicit patients" views of 7 frequently used terms for UNS, and whether these changed once definitions were provided.Methods: 185 participants were recruited from a medical outpatients" waiting area. They were given questionnaires outlining a hypothetical situation of leg weakness, with 7 possible labels.Participants were asked whether they endorsed 4 connotations for each label and the "number needed to offend" (NNO) calculated, before and after definitions were given.

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Conversion disorder: advances in our understanding

Cited by 71 publications

References 33 publications

Diagnosis and Management of Postoperative Conversion Disorder in an Adolescent Following Arthroscopic Meniscectomy

Diagnosis and Management of Postoperative Conversion Disorder in an Adolescent Following Arthroscopic Meniscectomy

Clinical briefing: functional neurological symptom disorder

What should we say to patients with unexplained neurological symptoms? How explanation affects offence

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