Persisting Symptoms After Concussion and Functional Neurological Disorder: Points of Intersection.

IF 2.2 4区 医学 Q3 CLINICAL NEUROLOGY
Seminars in Neurology Pub Date : 2026-04-01 Epub Date: 2025-12-03 DOI:10.1055/a-2752-8940
Adriano Mollica, Michael Dedominicis, Noah D Silverberg, Matthew J Burke
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引用次数: 0

Abstract

Abstract: Persistent symptoms after concussion (PSaC) and functional neurological disorder (FND) are frequently encountered in clinical practice and are often challenging to manage due to heterogeneous and polysymptomatic presentations, as well as fragmented care pathways. This review outlines key points of intersection between PSaC and FND across pathophysiology, illness beliefs, rehabilitation models, and emerging treatments. We describe when FND should be considered in the differential diagnosis of patients with PSaC, and provide guidance on history-taking, examination, diagnostic communication, and rehabilitation planning that can be applied to both conditions. We also examine the influence of expectations, clinical messaging, and interactions with the healthcare system on recovery. Integrating principles from FND into concussion care may help clinicians more accurately formulate cases and support individualized rehabilitation pathways.

脑震荡后持续症状与功能性神经障碍:交叉点
脑震荡后的持续症状(PSaC)和功能性神经障碍(FND)在临床实践中经常遇到,并且由于异质性和多症状表现以及碎片化的护理途径,往往具有挑战性。本文概述了PSaC和FND在病理生理学、疾病信念、康复模式和新兴治疗方法方面的交叉关键点。我们描述了在PSaC患者的鉴别诊断中何时应考虑FND,并提供了适用于这两种情况的病史记录、检查、诊断沟通和康复计划的指导。我们还研究了期望、临床信息和与医疗保健系统的互动对恢复的影响。将FND的原则整合到脑震荡护理中可以帮助临床医生更准确地制定病例,并支持个性化的康复途径。
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来源期刊
Seminars in Neurology
Seminars in Neurology 医学-临床神经学
CiteScore
4.60
自引率
3.70%
发文量
65
审稿时长
6-12 weeks
期刊介绍: Seminars in Neurology is a review journal on current trends in the evaluation, diagnosis, and treatment of neurological diseases. Areas of coverage include multiple sclerosis, central nervous system infections, muscular dystrophy, neuro-immunology, spinal disorders, strokes, epilepsy, motor neuron diseases, movement disorders, higher cortical function, neuro-genetics and neuro-ophthamology. Each issue is presented under the direction of an expert guest editor, and invited contributors focus on a single, high-interest clinical topic. Up-to-the-minute coverage of the latest information in the field makes this journal an invaluable resource for neurologists and residents.
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