David Perez MD, MMSc, FAAN, FANPA Profile picture
Clinician-Scientist | Behavioral Neurologist & NeuroPsychiatrist | #FND Care & Research | @harvardmed @MGHNeurology @MGHPsychiatry | Co-President @BSNNP1880
Oct 5, 2023 14 tweets 7 min read
Sharing our 13-article volume on Functional Neurological Disorder in @ClinicsReviews. Great working alongside #SaraFinkelstein as co-editors, and a MAJOR THANK YOU to our international panel of co-authors! Check it out. 1/14 @FNDSociety @FNDHope @MGH_RI
neurologic.theclinics.com/article/S0733-…
Image Article #1: Lessons from a Neurologist After 25 Years of Functional Neurological Disorder Subspeciality Practice. @jonstoneneuro
neurologic.theclinics.com/article/S0733-…
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Jan 26, 2023 20 tweets 15 min read
I think often about the TRANSLATION GAP - the ways that state-of-the-art brain science does not enter clinical discourse, practice, & education. MAJOR MISCONCEPTUALIZATIONS of Functional Neurological Disorder by PHYSICIANS point this out. #FND Brain Science: "The Basics". 1/20 Theme 1: MOTOR INHIBITION BY PREFRONTAL BRAIN AREAS - In an early study, Marshall et al. showed that attempted movements of the leg w functional weakness did not activate primary motor areas but led to anterior cingulate & orbitofrontal activity
DOI: 10.1016/s0010-0277(97)00020-6
Jan 24, 2023 6 tweets 7 min read
There have been a series of comments on #Twitter (including by MDs) highlighting that Functional Neurological Disorder remains markedly misunderstood & dismissed by portions of the MEDICAL community. Part of the issue is a FALSELY dualistic framing of complex brain disorders. 1/6 In a @FNDHope talk from a few years ago, I shared my viewpoint on how we can bridge Neurologic & Psychiatric/Psychological perspectives in #FND. Link to the talk below. @FNDHopeUK @FNDHopeUSA

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