A Case of Functional Dystonia with Associated Functional Neurological Symptoms: Diagnostic and Therapeutic Challenges.

Harv Rev Psychiatry

From Harvard Medical School (Drs. Stephen, Sharma, and Perez, and Ms. Callahan); Movement Disorders Unit (Drs. Stephen and Sharma) and Cognitive Behavioral Neurology Unit (Dr. Perez), Department of Neurology, Massachusetts General Hospital, Boston, MA; Department of Physical Therapy, MGH Institute of Health Professions (Ms. Callahan); Neuropsychiatry Unit, Department of Psychiatry, Massachusetts General Hospital (Dr. Perez); Department of Psychiatry, Department of Clinical Neurosciences, and Department of Rehabilitation Medicine, NHS Lothian and Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom (Dr. Carson).

Published: October 2018

Download full-text PDF

Source
http://dx.doi.org/10.1097/HRP.0000000000000135DOI Listing

Publication Analysis

Top Keywords

case functional
4
functional dystonia
4
dystonia associated
4
associated functional
4
functional neurological
4
neurological symptoms
4
symptoms diagnostic
4
diagnostic therapeutic
4
therapeutic challenges
4
case
1

Similar Publications

Exoskeleton Robot Training in Two Patients with an Electrical Burn and Septic Arthritis: A Case Report.

J Burn Care Res

January 2025

Department of Rehabilitation Medicine, Hangang Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea.

Septic arthritis (SA) are rare in patients with burns, but delayed treatment can result in irreversible joint destruction. Early diagnosis and immediate treatment are necessary to prevent joint destruction. Robot training in patients with musculoskeletal diseases and burns, can improve joint range of motion (ROM), muscle strength, and lower extremity function.

View Article and Find Full Text PDF

Alkaptonuria (AKU) is an extremely rare autosomal recessive metabolic disorder caused by deficiency of homogentisic acid oxidase and resulting in accumulation of homogentisic acid in collagenous structures. It is characterized by a triad of homogentisic aciduria, bluish-black discoloration of connective tissues (ochronosis) and arthropathy of large weight bearing joints. We report on a middle-aged female patient with bilateral severe ochronotic arthritis of both hips and shoulder joints requiring total joint replacements as staged procedures which were done without complications offering a complete pain relief and a satisfactory clinical and functional outcome.

View Article and Find Full Text PDF

The purpose of the present study was to evaluate and compare the clinical outcomes of two groups of patients subject to bi-cruciate retaining (BCR) or posterior-stabilized (PS) implants. It was hypothesized that patients treated with BCR prostheses would present higher flexion and better clinical and functional results than those treated with PS implants. This prospective study included thirty-two patients treated for primary knee osteoarthritis and assigned to two matched groups for their demographic characteristics and comorbidities.

View Article and Find Full Text PDF

Background: Early anal canal cancer is frequently treated with endoscopic submucosal dissection (ESD) to preserve anal function. However, if the lesion is in the anal canal, then significant difficulties such as bleeding and challenges associated with scope manipulation can arise.

Case Summary: A 70-year-old woman undergoing follow-up after transverse colon cancer surgery was diagnosed with anal canal cancer extending to the dentate line.

View Article and Find Full Text PDF

Background: Thoracic SMARCA4-deficient undifferentiated tumors (SMARCA4-UT) exhibit a notably aggressive phenotype, which is associated with poor patient survival outcomes. These tumors are generally resistant to conventional cytotoxic chemotherapy, thereby limiting the availability of effective treatment options.

Case Presentation: We describe a 69-year-old AIDS patient who initially presented with a fused, enlarged lymph node on the right clavicle and mild, unexplained pain under the right axilla that worsened with severe coughing episodes.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!