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FND: Speech & Voice

Posts involving functional speech or voice presentations, including dysphonia, aphonia, altered speech, and related diagnostic questions.

7 posts
Diagnosed With FND After Her Son’s Suicide. It Was Fatal Frontotemporal Dementia
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A 47-year-old woman’s progressive neurological deterioration was attributed to conversion disorder after her son’s suicide. Despite abnormal findings and failed psychiatric treatments, the diagnosis persisted. Genetic testing eventually confirmed frontotemporal dementia. Her doctors later acknowledged the cognitive biases behind their diagnostic failure.

Three Seizures, Three Accents, One FND Diagnosis: What Was Actually Ruled Out?
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A musician developed changing accents after reported seizures, a head injury and cardiac arrest. Doctors diagnosed FND. But what neurological explanations were investigated, and what evidence supports the diagnosis?

FND, Until It Was Inoperable Tongue Cancer
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A 58-year-old woman with progressive swallowing and speech problems was diagnosed with functional movement disorder. Eleven months after onset, repeat imaging found advanced squamous-cell carcinoma. The authors say diagnostic bias from the FMD diagnosis even caused abnormal swallowing findings to be misinterpreted.

When Conversion Disorder Was Actually a Rare Prion Disease
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A woman with tremor, speech problems and slowed movements was diagnosed with conversion disorder after early neurological investigations were unrevealing. As her condition progressively deteriorated, genetic testing ultimately confirmed Gerstmann–Sträussler–Scheinker disease caused by a rare PRNP mutation.

FND Diagnosis Revised to Progressive Supranuclear Palsy (PSP)
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A published case report documents a patient initially diagnosed with FND whose progressive neurological deterioration led to further investigation and an eventual diagnosis of progressive supranuclear palsy (PSP).

The Medical Journey of Megan Dixon: FND and Severe Disability
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Megan Dixon became severely disabled following childhood illness, with progressive loss of mobility and speech leading to prolonged hospitalisation. She was later reportedly diagnosed with FND and underwent extended rehabilitation after years of severe impairment.

Personal Account of Misdiagnosed Neurological Condition by a Medical Student

Email from a 21-year-old medical student in Kazakhstan sharing their detailed experience with neurological symptoms diagnosed as FND, highlighting objective signs of an organic lesion, diagnostic history, and concerns about misdiagnosis.