K. Devloo, J. Toelen, C. Cassiman, M. Danckaerts, E. Van Roie
{"title":"展望未来:青少年功能振荡的案例研究","authors":"K. Devloo, J. Toelen, C. Cassiman, M. Danckaerts, E. Van Roie","doi":"10.47671/tvg.79.23.099","DOIUrl":null,"url":null,"abstract":"Looking ahead: case report of functional oscillopsia in an adolescent A conversion disorder or functional neurological disorder (FND) is a rare condition with disturbances in voluntary body functions, sensory or motor, unexplained by any known somatic condition. This case report describes intermittent horizontal oscillopsia with normal neuro-ophthalmic findings in a 14-year-old girl. ‘Oscillopsia’ refers to the perception of unstable vision, i.e. an oscillating image. This is usually caused by a newly acquired eye movement disorder type nystagmus, ocular flutter or myokymia. Clinical examination showed positive symptoms of a conversion disorder. During a pediatric admission with multidisciplinary assessment, the diagnosis of FND was made. A multidisciplinary treatment plan was established, starting with psychoeducation about the diagnosis to arrive at a shared perspective of disease theory. This article aims to demonstrate the need for multidisciplinary collaboration in the diagnostic phase of particular symptom presentations with attention to a functional mechanism. This approach contributes to a more rapid and integrated conclusion and reduces the likelihood of an exclusionary diagnosis. The authors provide some examples for communicating with patients, as this is crucial to achieve shared meaning.","PeriodicalId":23124,"journal":{"name":"Tijdschrift Voor Geneeskunde","volume":"11 4","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Een blik vooruit: casusbespreking van functionele oscillopsie bij een adolescente\",\"authors\":\"K. Devloo, J. Toelen, C. Cassiman, M. Danckaerts, E. Van Roie\",\"doi\":\"10.47671/tvg.79.23.099\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Looking ahead: case report of functional oscillopsia in an adolescent A conversion disorder or functional neurological disorder (FND) is a rare condition with disturbances in voluntary body functions, sensory or motor, unexplained by any known somatic condition. This case report describes intermittent horizontal oscillopsia with normal neuro-ophthalmic findings in a 14-year-old girl. ‘Oscillopsia’ refers to the perception of unstable vision, i.e. an oscillating image. This is usually caused by a newly acquired eye movement disorder type nystagmus, ocular flutter or myokymia. Clinical examination showed positive symptoms of a conversion disorder. During a pediatric admission with multidisciplinary assessment, the diagnosis of FND was made. A multidisciplinary treatment plan was established, starting with psychoeducation about the diagnosis to arrive at a shared perspective of disease theory. This article aims to demonstrate the need for multidisciplinary collaboration in the diagnostic phase of particular symptom presentations with attention to a functional mechanism. This approach contributes to a more rapid and integrated conclusion and reduces the likelihood of an exclusionary diagnosis. The authors provide some examples for communicating with patients, as this is crucial to achieve shared meaning.\",\"PeriodicalId\":23124,\"journal\":{\"name\":\"Tijdschrift Voor Geneeskunde\",\"volume\":\"11 4\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-11-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Tijdschrift Voor Geneeskunde\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.47671/tvg.79.23.099\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Tijdschrift Voor Geneeskunde","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.47671/tvg.79.23.099","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Een blik vooruit: casusbespreking van functionele oscillopsie bij een adolescente
Looking ahead: case report of functional oscillopsia in an adolescent A conversion disorder or functional neurological disorder (FND) is a rare condition with disturbances in voluntary body functions, sensory or motor, unexplained by any known somatic condition. This case report describes intermittent horizontal oscillopsia with normal neuro-ophthalmic findings in a 14-year-old girl. ‘Oscillopsia’ refers to the perception of unstable vision, i.e. an oscillating image. This is usually caused by a newly acquired eye movement disorder type nystagmus, ocular flutter or myokymia. Clinical examination showed positive symptoms of a conversion disorder. During a pediatric admission with multidisciplinary assessment, the diagnosis of FND was made. A multidisciplinary treatment plan was established, starting with psychoeducation about the diagnosis to arrive at a shared perspective of disease theory. This article aims to demonstrate the need for multidisciplinary collaboration in the diagnostic phase of particular symptom presentations with attention to a functional mechanism. This approach contributes to a more rapid and integrated conclusion and reduces the likelihood of an exclusionary diagnosis. The authors provide some examples for communicating with patients, as this is crucial to achieve shared meaning.