Functional Neurology Explained

Today we will be discussing Functional Neurology.  Our clinic is comprised of patients who have inflammatory, autoimmune, hormonal, and neurological problems.   Relative to neurological conditions, in our practice we see patients who have chronic pain syndromes such as fibromyalgia, peripheral neuropathy, dizziness, vertigo, migraines, restless leg syndrome, and post concussion syndrome to name a few.  Most of our patients have a good understanding as to why we institute dietary and nutritional management strategies for their inflammation, yet today we felt the need to elaborate on why the neurological rehabilitation aspect of treatment is important for our patients.
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1.Altered brain morphometry in carpal tunnel syndrome is associated with median nerve pathology.
Maeda Y, Kettner N, Sheehan J, Kim J, Cina S, Malatesta C, Gerber J, McManus C, Mezzacappa P, Morse LR, Audette J, Napadow V.
Neuroimage Clin. 2013;2:313-319.
PMID: 23799199 [PubMed] Free PMC Article
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2.Sensorimotor cortical changes assessed with resting-state fMRI following total brachial plexus root avulsion.
Qiu TM, Chen L, Mao Y, Wu JS, Tang WJ, Hu SN, Zhou LF, Gu YD.
J Neurol Neurosurg Psychiatry. 2014 Jan;85(1):99-105. doi: 10.1136/jnnp-2013-304956. Epub 2013 Jun 12.
PMID: 23761913 [PubMed – indexed for MEDLINE]
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3.Local anesthetic sympathectomy restores fMRI cortical maps in CRPS I after upper extremity stellate blockade: a prospective case study.
Stude P, Enax-Krumova EK, Lenz M, Lissek S, Nicolas V, Peters S, Westermann A, Tegenthoff M, Maier C.
Pain Physician. 2014 Sep-Oct;17(5):E637-44.
PMID: 25247914 [PubMed – indexed for MEDLINE] Free Article
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4.Functional deficits in carpal tunnel syndrome reflect reorganization of primary somatosensory cortex.
Maeda Y, Kettner N, Holden J, Lee J, Kim J, Cina S, Malatesta C, Gerber J, McManus C, Im J, Libby A, Mezzacappa P, Morse LR, Park K, Audette J, Tommerdahl M, Napadow V.
Brain. 2014 Jun;137(Pt 6):1741-52. doi: 10.1093/brain/awu096. Epub 2014 Apr 16.
PMID: 24740988 [PubMed – indexed for MEDLINE] Free PMC Article
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5.Chasing map plasticity in neuropathic pain.
De Ridder D, Vanneste S, Van Laere K, Menovsky T.
World Neurosurg. 2013 Dec;80(6):901.e1-5. doi: 10.1016/j.wneu.2012.12.009. Epub 2012 Dec 12.
PMID: 23246633 [PubMed – indexed for MEDLINE]
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6.Macrostructural brain changes in patients with longstanding type 1 diabetes mellitus – a cortical thickness analysis study.
Frøkjær JB, Brock C, Søfteland E, Dimcevski G, Gregersen H, Simrén M, M Drewes A.
Exp Clin Endocrinol Diabetes. 2013 Jun;121(6):354-60. doi: 10.1055/s-0033-1345120. Epub 2013 Jun 6.
PMID: 23757052 [PubMed – indexed for MEDLINE]
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7.Rapid synaptic remodeling in the adult somatosensory cortex following peripheral nerve injury and its association with neuropathic pain.
Kim SK, Nabekura J.
J Neurosci. 2011 Apr 6;31(14):5477-82. doi: 10.1523/JNEUROSCI.0328-11.2011.
PMID: 21471384 [PubMed – indexed for MEDLINE] Free Article
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8.Restless legs syndrome and painful neuropathy-retrospective study. A role for nociceptive deafferentation?
Gemignani F, Brindani F, Vitetta F, Marbini A.
Pain Med. 2009 Nov;10(8):1481-6. doi: 10.1111/j.1526-4637.2009.00732.x.
PMID: 20021603 [PubMed – indexed for MEDLINE]
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9.Altered Cortical Processing of Observed Pain in Patients With Fibromyalgia Syndrome.
Fallon N, Li X, Chiu Y, Nurmikko T, Stancak A.
J Pain. 2015 Aug;16(8):717-26. doi: 10.1016/j.jpain.2015.04.008. Epub 2015 May 12.
PMID: 25979860 [PubMed – in process]
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10.Fibromyalgia is characterized by altered frontal and cerebellar structural covariance brain networks.
Kim H, Kim J, Loggia ML, Cahalan C, Garcia RG, Vangel MG, Wasan AD, Edwards RR, Napadow V.
Neuroimage Clin. 2015 Mar 4;7:667-77. doi: 10.1016/j.nicl.2015.02.022. eCollection 2015.
PMID: 25844321 [PubMed – in process] Free PMC Article
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11.Fibromyalgia patients have reduced hippocampal volume compared with healthy controls.
McCrae CS, O’Shea AM, Boissoneault J, Vatthauer KE, Robinson ME, Staud R, Perlstein WM, Craggs JG.
J Pain Res. 2015 Jan 30;8:47-52. doi: 10.2147/JPR.S71959. eCollection 2015.
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12.Disinhibition of the primary somatosensory cortex in patients with fibromyalgia.
Lim M, Roosink M, Kim JS, Kim DJ, Kim HW, Lee EB, Kim HA, Chung CK.
Pain. 2015 Apr;156(4):666-74. doi: 10.1097/j.pain.0000000000000096.
PMID: 25630027 [PubMed – in process]
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13.Differential generators for N20m and P35m responses to median nerve stimulation.
Lin YY, Chen WT, Liao KK, Yeh TC, Wu ZA, Ho LT, Lee LS.
Neuroimage. 2005 May 1;25(4):1090-9.
PMID: 15850727 [PubMed – indexed for MEDLINE]
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14.Long-term course of orthostatic tremor in serial posturographic measurement.
Feil K, Böttcher N, Guri F, Krafczyk S, Schöberl F, Zwergal A, Strupp M.
Parkinsonism Relat Disord. 2015 Aug;21(8):905-10. doi: 10.1016/j.parkreldis.2015.05.021. Epub 2015 May 29.
PMID: 26071126 [PubMed – in process]
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15.Central Integration of Canal and Otolith Signals is Abnormal in Vestibular Migraine.
King S, Wang J, Priesol AJ, Lewis RF.
Front Neurol. 2014 Nov 10;5:233. doi: 10.3389/fneur.2014.00233. eCollection 2014. Review.
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16.Changes in the gray matter volume during compensation after vestibular neuritis: a longitudinal VBM study.
Hong SK, Kim JH, Kim HJ, Lee HJ.
Restor Neurol Neurosci. 2014;32(5):663-73. doi: 10.3233/RNN-140405.
PMID: 25096973 [PubMed – indexed for MEDLINE]
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17.Ear acupuncture and fMRI: a pilot study for assessing the specificity of auricular points.
Romoli M, Allais G, Airola G, Benedetto C, Mana O, Giacobbe M, Pugliese AM, Battistella G, Fornari E.
Neurol Sci. 2014 May;35 Suppl 1:189-93. doi: 10.1007/s10072-014-1768-7.
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18.Electrical stimulation as an adjunctive treatment of painful and sensory diabetic neuropathy.
Thakral G, Kim PJ, LaFontaine J, Menzies R, Najafi B, Lavery LA.
J Diabetes Sci Technol. 2013 Sep 1;7(5):1202-9. Review.
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19.Neuroanatomy and physiology of cognition.
Culpepper L.
J Clin Psychiatry. 2015 Jul;76(7):e900. doi: 10.4088/JCP.13086tx3c.
PMID: 26231020 [PubMed – in process]
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