Nonetheless, Briquet relocalized functional neurologic disorders from the uterus to the brain. Broca’s contemporary neuroscientist Briquet related functional neurologic disorders of both women and men also to cerebral disease, but in contrast to aphasia, these disorders did not leave visible lesions at autopsy ( 65). Eighteenth century treatments for hysteria were radical and untested, including bloodletting, beatings, diet, fresh air, and writing ( 179).īroca’s 1861 seminal and replicated discovery that aphasia follows from focal lesion in the brain as found on autopsy, more often in the left cerebral hemisphere, inspired subsequent neuroscientists to trace other neurobehavioral disorders to their respective specific brain regions (see the MedLink article, “Nonprogressive aphasia”). Offray de La Mettrie, for example, published in 1738 an account of episodic catalepsy (waxy immobility of the limbs) in a woman that he attributed to hysteria arising from amenorrhea ( 289). "Hysteria" was the original term for fluctuating and disabling neurologic disorders in alert sufferers, which were attributed from classical times to a "wandering uterus" because of their predominance in women ( 302). Forms of Munchausen syndrome that involve self-inflicted tissue injury can have distinctive pathological findings. ![]() Although most forms of functional neurologic disorder are relatively benign, Munchausen syndrome by proxy (the intentional false reporting of illness by caregivers of dependent individuals) demands rapid intervention. ![]()
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