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  • Functional or Feigned: a neurological dilemma
  • Posted in Clinical Dilemmas in Neuropsychiatry

  • 20th Sep 2012

  • A 23-year-old girl with a paraplegia of two years duration has been referred for a second opinion as to whether her symptoms are functional. After appropriate examination and investigation you concur that no organic explanation is possible. You find her remarkably well adjusted to her condition – indeed she tells you she hopes to represent her country in the Paralympic games. However, while she is awaiting transport you happen to notice her uncrossing and re-crossing her legs without using her hands, and become concerned that she may be feigning her symptoms. What should you do?

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