Regístrese
Buscar en
Revista Colombiana de Psiquiatría (English Edition)
Toda la web
Inicio Revista Colombiana de Psiquiatría (English Edition) From conversion disorders to functional neurological disorders. Overcoming the r...
Journal Information
Vol. 48. Issue 3.
Pages 174-181 (July - September 2019)
Share
Share
Download PDF
More article options
ePub
Visits
0
Vol. 48. Issue 3.
Pages 174-181 (July - September 2019)
Review article
DOI: 10.1016/j.rcpeng.2017.10.005
From conversion disorders to functional neurological disorders. Overcoming the rule-out diagnosis?
Del trastorno conversivo a los trastornos neurológicos funcionales. ¿Superando el diagnóstico por descarte?
Visits
0
Miguel Restrepo, Diana Restrepo
Corresponding author
dianarestrepobernal@gmail.com

Corresponding author.
Universidad CES, Medellín, Colombia
This item has received
0
Visits
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (2)
Tables (2)
Table 1. Comparison between the criteria of the DSM-IV and the DSM-5 for the diagnosis of functional neurological disorder.
Table 2. Motor symptoms which can be found in patients with functional neurological disorder.
Show moreShow less
Abstract

Functional neurological disorders, formerly referred to as conversion disorders, are a frequent clinical problem in neurology, psychiatry and primary care departments. In the new diagnostic categories, emphasis is placed on the positive characteristics necessary to diagnose this disorder. A narrative review of the scientific medical literature related to the subject was performed in order to determine the differences and advantages that the new classification of functional neurological disorders gives to doctors and patients. Historical, diagnostic, clinical and treatment concepts related to functional neurological disorders are reviewed. The conceptual differences between conversion disorders and functional neurological disorders and the implications of these changes in the clinical approach are identified. The new proposed diagnosis for functional neurological disorders provides the opportunity to transform a diagnosis made by ruling out other pathologies to a diagnosis where the presence of neurological signs suggestive of the disorder are verified and can be taught to the patient, and based on them, treatment strategies posed.

Keywords:
Somatoform disorders
Movement disorders
Neurological manifestations
Signs and symptoms
Diagnostic and Statistical Manual of Mental Disorders
Resumen

Los trastornos neurológicos funcionales, antes llamados trastornos conversivos, son un problema clínico frecuente en los servicios de neurología y psiquiatría y en atención primaria. En las nuevas categorías diagnósticas se hace énfasis en las características positivas necesarias para el diagnóstico de este trastorno. Se realizó una revisión narrativa de la literatura médica para determinar las diferencias y las ventajas clínicas que la actual clasificación aporta al diagnóstico y el tratamiento de los trastornos neurológicos funcionales. Se identifican las diferencias conceptuales entre los trastornos conversivos y los trastornos neurológicos funcionales y las implicaciones de estos cambios en el abordaje clínico. La nueva propuesta diagnóstica para los trastornos neurológicos funcionales brinda la oportunidad de transformar un diagnóstico realizado a partir del descarte de otras afecciones en otro en el que se verifica la presencia de signos neurológicos que apuntan al trastorno y se pueden enseñar al paciente, y a partir de ellos, plantear estrategias de tratamiento.

Palabras clave:
Trastornos somatoformes
Trastornos del movimiento
Manifestaciones neurológicas
Signos y sintomas
Manual Diagnóstico y Estadístico de los Trastornos Mentales

Article

These are the options to access the full texts of the publication Revista Colombiana de Psiquiatría (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
Tools
es en pt
Política de cookies Cookies policy Política de cookies
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here. Utilizamos cookies próprios e de terceiros para melhorar nossos serviços e mostrar publicidade relacionada às suas preferências, analisando seus hábitos de navegação. Se continuar a navegar, consideramos que aceita o seu uso. Você pode alterar a configuração ou obter mais informações aqui.