Difficulties in Management of Functional Movement Disorders: Three Illustrative Cases.

ABSTRACT:

Background

Some patients with FND and FEVD cannot re-establish walking ability with standard treatment alone.

Cases

Novel invasive treatment of FEVD trialed in three females, aged 19, 30 and 33 years with >18 month history of FND. None could walk and all were wheelchair-dependent needing home carers. Standard treatment plus novel step-wise escalation of invasive "intervention+" was individually tailored to correct FEVD; functional electrical stimulation, botulinum toxin injections, tibial nerve block, serial casting, and for Case 3, manipulation under anesthetic and surgical tendon lengthening. All regained walking ability and discontinued carers. Case 1 resumed dancing and Case 3 returned to employment. Improvements were largely maintained at 3 and 6 month follow-up.

Con

SUBMITTER: Nadler M 

PROVIDER: S-EPMC8354088 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature