{"id":1674,"date":"2021-04-02T09:43:28","date_gmt":"2021-04-02T09:43:28","guid":{"rendered":"https:\/\/ftd.cognihealth.in\/?page_id=1674"},"modified":"2023-01-16T19:10:13","modified_gmt":"2023-01-16T19:10:13","slug":"what-makes-clinicians-confident-that-they-are-defining-a-discrete-group-of-patients-within-the-diagnosis-of-fnd","status":"publish","type":"page","link":"https:\/\/pre-prod.neurosymptoms.org\/sv_SE\/faq-2\/what-makes-clinicians-confident-that-they-are-defining-a-discrete-group-of-patients-within-the-diagnosis-of-fnd\/","title":{"rendered":"Hur kan l\u00e4kare vara s\u00e4kra p\u00e5 att de avgr\u00e4nsar en separat grupp av patienter med FNS-diagnosen?"},"content":{"rendered":"\n<p>Flera saker tillsammans bel\u00e4gger att diagnosen FNS \u00e4r anv\u00e4ndbar och kan vara till nytta f\u00f6r patienter, \u00e5tminstone om den st\u00e4lls av n\u00e5gon med tillr\u00e4cklig erfarenhet.&nbsp;<\/p>\n\n\n\n<ul><li>Det finns rimliga bel\u00e4gg f\u00f6r att positiva fysiska tecken kan anv\u00e4ndas f\u00f6r att urskilja tillst\u00e5ndet p\u00e5 individuell niv\u00e5. Vissa studier tyder p\u00e5 att en kombination av tecken, till exempel vid funktionella anfall, ger ytterligare st\u00f6d f\u00f6r diagnosen.&nbsp;<\/li><li>N\u00e4r neurologer st\u00e4ller diagnosen FNS f\u00f6rblir diagnosen stabil \u00f6ver tid. F\u00f6rekomsten av feldiagnostik \u00e4r inte h\u00f6gre \u00e4n vid andra neurologiska eller psykiatriska tillst\u00e5nd (1).<\/li><li>De h\u00e4r kliniska tecknen har funnits \u00f6ver tid (t ex i b\u00f6cker fr\u00e5n 1800-talet) och \u00f6ver hela v\u00e4rlden (t.ex. i bed\u00f6mningar av neurologer p\u00e5 landsbygden i Tanzania).&nbsp;<\/li><li>&nbsp;I randomiserade kontrollerade studier ringar de kliniska tecknen in en grupp av patienter som svarar positivt p\u00e5 behandling som riktas mot de h\u00e4r sv\u00e5righeterna.<\/li><\/ul>\n\n\n\n<p>L\u00e4kare kommer inte alltid g\u00f6ra r\u00e4tt kring detta, precis som de ibland kommer att feldiagnostisera svimningar som epilepsi, FNS som MS eller ryggm\u00e4rgssjukdom som ALS. Varje g\u00e5ng det h\u00e4nder \u00e4r det en tragedi f\u00f6r den individen, men det kan inte betyda att l\u00e4kare inte ska st\u00e4lla diagnoser.&nbsp;<\/p>\n\n\n\n<p><strong>Referenser:<\/strong><\/p>\n\n\n\n<ol><li>Stone J, Smyth R, Carson A, <em>et al.<\/em> Systematic review of misdiagnosis of conversion symptoms and \u2018hysteria\u2019. <em>BMJ<\/em> 2005; <strong>331<\/strong>: 989.<\/li><\/ol>\n","protected":false},"excerpt":{"rendered":"<p><!-- wp:paragraph --><\/p>\n<p>Flera saker tillsammans bel\u00e4gger att diagnosen FNS \u00e4r anv\u00e4ndbar och kan vara till nytta f\u00f6r patienter, \u00e5tminstone om den st\u00e4lls av n\u00e5gon med tillr\u00e4cklig erfarenhet.&nbsp;<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:list --><\/p>\n<ul>\n<li>D&#8230;<br \/>\n","protected":false},"author":1,"featured_media":0,"parent":1654,"menu_order":134,"comment_status":"closed","ping_status":"closed","template":"page-template\/faq-details-template.php","meta":[],"_links":{"self":[{"href":"https:\/\/pre-prod.neurosymptoms.org\/sv_SE\/wp-json\/wp\/v2\/pages\/1674"}],"collection":[{"href":"https:\/\/pre-prod.neurosymptoms.org\/sv_SE\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pre-prod.neurosymptoms.org\/sv_SE\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pre-prod.neurosymptoms.org\/sv_SE\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pre-prod.neurosymptoms.org\/sv_SE\/wp-json\/wp\/v2\/comments?post=1674"}],"version-history":[{"count":22,"href":"https:\/\/pre-prod.neurosymptoms.org\/sv_SE\/wp-json\/wp\/v2\/pages\/1674\/revisions"}],"predecessor-version":[{"id":12056,"href":"https:\/\/pre-prod.neurosymptoms.org\/sv_SE\/wp-json\/wp\/v2\/pages\/1674\/revisions\/12056"}],"up":[{"embeddable":true,"href":"https:\/\/pre-prod.neurosymptoms.org\/sv_SE\/wp-json\/wp\/v2\/pages\/1654"}],"wp:attachment":[{"href":"https:\/\/pre-prod.neurosymptoms.org\/sv_SE\/wp-json\/wp\/v2\/media?parent=1674"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}