Functional neurological symptom disorder in a patient with hemibody weakness: A case report.

Journal: SAGE open medical case reports

Volume: 12

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Mental Health, University Teaching Hospital of Kigali, Kigali, Rwanda.

Abstract summary 

Functional neurological symptom disorder (FNSD) is a complex condition with multifactorial etiology in which psychological factors may play a significant role in some patients, and they are not universally present or necessary for the diagnosis. FNSD can occur in the absence of psychological distress and each patient's presentation should be evaluated individually, considering a wide range of potential contributing factors. This is the first report related to prevalence data from Rwanda. This report presents a case study of a 15-year-old female patient who presented hemibody weakness without a structural neurological explanation on the background of the direct exposure to parental conflict. she was ultimately diagnosed with an FNSD and responded effectively to five sessions of cognitive behavioral therapy. Additionally, follow-up appointments were conducted every 4 months over the course of 1 year. During this period, the patient successfully resumed her studies and demonstrated normal functioning in all essential areas of daily life. This is the first reported case in Rwanda among similar cases. Addressing these specific stressors played a crucial role in the patient's overall outcome, leading to improved quality of care and prevention of unnecessary medical costs and interventions.

Authors & Co-authors:  Gafaranga Jean Pierre JP Kayitesi Marie Louise ML

Study Outcome 

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Statistics
Citations :  LaFaver K. Treatment of functional movement disorders. Neurol Clin 2020; 38: 469–480.
Authors :  2
Identifiers
Doi : 2050313X241267073
SSN : 2050-313X
Study Population
Female
Mesh Terms
Other Terms
Functional neurological symptom disorder;cognitive behavioral therapy;hemibody weakness;multidisciplinary collaboration
Study Design
Case Study
Study Approach
Country of Study
Rwanda
Publication Country
England