{"id":1550,"date":"2018-03-07T12:30:21","date_gmt":"2018-03-07T01:30:21","guid":{"rendered":"https:\/\/blogs.rch.org.au\/grandrounds\/?p=1550"},"modified":"2018-03-16T15:29:34","modified_gmt":"2018-03-16T04:29:34","slug":"functional-neurological-disordersand-why-heart-attacks-are-not-just-a-smoking-disease","status":"publish","type":"post","link":"https:\/\/blogs.rch.org.au\/grandrounds\/2018\/03\/07\/functional-neurological-disordersand-why-heart-attacks-are-not-just-a-smoking-disease\/","title":{"rendered":"Functional Neurological Disorders\u2026and why heart attacks are not just a smoking disease"},"content":{"rendered":"<p><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/259278956\" width=\"1140\" height=\"641\" frameborder=\"0\" title=\"Grand Rounds 08 Mar 2018 - Functional Neurological Disorders by Alex Lehn\" webkitallowfullscreen mozallowfullscreen allowfullscreen><\/iframe><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Synopsis:<\/strong><\/p>\n<p>Individuals who present\u00a0with physical symptoms for which no disease pathology can be found are common\u00a0in medical practice. In neurology outpatient clinics, patients\u00a0with Functional Neurological Disorders (FNDs) are the second most common\u00a0reason\u00a0for referral after headaches. These disorders are\u00a0known by a variety of synonyms including \u201chysteria\u201d,\u00a0\u201cconversion disorder\u201d,\u00a0\u201csomatoform disorders\u201d, \u201cnon-organic\u201d and \u201cpsychogenic symptoms\u201d. Common presentations of FNDs include dissociative attacks causing\u00a0periods of altered or loss of consciousness resembling epileptic seizures or syncope, and\/or abnormal movements.<\/p>\n<p>Functional Neurological Disorders cause\u00a0significant levels of disability and distress and with current \u2018usual care\u2019,\u00a0outcomes are poor.\u00a0Modern\u00a0multi-disciplinary treatments can lead to dramatically better outcomes. At the Mater Centre for Neurosciences in Brisbane, Dr Lehn leads a dedicated multidisciplinary team for patients with FND. Dr Lehn\u2019s grand round presentation will cover epidemiology, aetiology and common misperceptions related to Functional Neurologic Disorders, how to make a diagnosis (and how not to!), as well as an overview of key aspects of management.<\/p>\n<p><strong>Speaker:<\/strong><\/p>\n<p><strong>Dr Alexander Lehn<\/strong> attended medical school in Germany (Regensburg and Munich) and conducted his residency and basic physician training in the United Kingdom (Bristol) and Australia (Nambour and Brisbane). Dr Lehn then undertook a Fellowship in movement disorders at the Princess Alexandra hospital followed by a Fellowship in movement disorders and dementia in Newcastle upon Tyne in the United Kingdom. Together with Dr Sarah Olson he runs the movement disorders and deep brain stimulation service at Princess Alexandra Hospital and Mater Hospital Brisbane. In early 2015 Dr Lehn also started a\u00a0dedicated clinic for functional neurological disorders at Mater Hospital Brisbane.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Individuals who present\u00a0with physical symptoms for which no disease pathology can be found are common\u00a0in medical practice. In neurology outpatient clinics, patients\u00a0with Functional Neurological Disorders (FNDs) are the second most common\u00a0reason\u00a0for referral after headaches. <\/p>\n","protected":false},"author":97,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[7932,5658],"tags":[],"class_list":["post-1550","post","type-post","status-publish","format-standard","hentry","category-neurology","category-video"],"acf":[],"_links":{"self":[{"href":"https:\/\/blogs.rch.org.au\/grandrounds\/wp-json\/wp\/v2\/posts\/1550","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.rch.org.au\/grandrounds\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.rch.org.au\/grandrounds\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.rch.org.au\/grandrounds\/wp-json\/wp\/v2\/users\/97"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.rch.org.au\/grandrounds\/wp-json\/wp\/v2\/comments?post=1550"}],"version-history":[{"count":2,"href":"https:\/\/blogs.rch.org.au\/grandrounds\/wp-json\/wp\/v2\/posts\/1550\/revisions"}],"predecessor-version":[{"id":1554,"href":"https:\/\/blogs.rch.org.au\/grandrounds\/wp-json\/wp\/v2\/posts\/1550\/revisions\/1554"}],"wp:attachment":[{"href":"https:\/\/blogs.rch.org.au\/grandrounds\/wp-json\/wp\/v2\/media?parent=1550"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.rch.org.au\/grandrounds\/wp-json\/wp\/v2\/categories?post=1550"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.rch.org.au\/grandrounds\/wp-json\/wp\/v2\/tags?post=1550"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}