Neurologic clinics
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Review Case Reports
Functional neurologic symptoms: assessment and management.
Neurologic symptoms such as weakness or abnormal movements that are inconsistent and incongruent with neurologic disease can be described as functional, psychogenic, nonorganic, conversion, or dissociative symptoms. These symptoms often represent a clinical dilemma and a challenge for the clinician. This article provides practical advice on making an accurate diagnosis, options for explaining the diagnosis to the patient, and considering further treatment.
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Headache, and in particular, migraine, is often associated with comorbid psychiatric illness. The complex relationships between these disorders are slowly becoming understood. Successful management requires an integrated approach of neurologic and psychiatric management.
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The neurobehavioral sequelae of TBI consist of a spectrum of somatic, neurologic, and psychiatric symptoms. The challenge for clinicians lies in understanding the interface of the various symptoms and how they interrelate with other entities. Specifically, the challenge is differentiating post-TBI-related symptoms from preexisting or de novo psychiatric, neurologic, and/or systemic disorders. A comprehensive evaluation and a multidisciplinary approach to evaluating patients are essential to be able to develop the differential diagnosis needed to design a management plan that maximizes recovery.