Matthew Burke
@mattburkemd.bsky.social
160 followers 49 following 16 posts
Cognitive Neurologist specializing in Neuropsychiatry at Sunnybrook Health Sciences Centre and the University of Toronto
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Reposted by Matthew Burke
Reposted by Matthew Burke
minzlicht.bsky.social
🚨 New preprint! 🚨 Inform and Do No Harm: A Novel Approach to Reduce Negative Effects of Mental Health Awareness

My student Dasha Sandra tackled growing concerns about false self-diagnosis following awareness efforts and found a promising solution. Thread /1

osf.io/preprints/ps...
OSF
osf.io
Reposted by Matthew Burke
davidlewisperez.bsky.social
Outstanding #BrainMedicine conference led by #SaraMitchell & #SarahLevitt from the University of Toronto! Great to see momentum growing to erode silos & integrate neurologic, psychiatric, & rehabilitative perspectives for complex brain disorders. #SarahLidstone @mattburkemd.bsky.social
mattburkemd.bsky.social
Very honoured to receive the 2025 AAN Norman Geschwind Prize for my research trying to better understand disorders and phenomena at the interfaces of Neurology and Psychiatry

Very grateful to all my mentors and colleagues @sunnybrookhsc.bsky.social @uoftmedicine.bsky.social
@harvardmed.bsky.social
Reposted by Matthew Burke
davidlewisperez.bsky.social
Standing room only for 2 hour symposium on functional neurological disorder (#FND) at the #AAN2025 meeting - with a focus on functional seizures, post concussive syndrome / functional cognitive disorder & pathophysiology. #BarbaraDworetzky @mattburkemd.bsky.social
Reposted by Matthew Burke
andreashorn.org
Great intro to a promising session here at #nans2025 by @mattburkemd.bsky.social - do you know all the famous 🇨🇦 neuroscientists - Penfield, Milner, Hebb, Jasper and many more
mattburkemd.bsky.social
Our findings will be shared by Dr. Saarah Haque in the Clinical Platform Presentation session this afternoon at the American Neuropsychiatric Association Annual Meeting in Montreal 2/2

@uoftmedicine.bsky.social
mattburkemd.bsky.social
Collaboration with our great Sunnybrook multi-specialty Trauma team (ICU, Neuro, Psych and Rehab) and @silverberglab.bsky.social
mattburkemd.bsky.social
Unbeknownst to me, my patient wrote about her struggles and recovery from a head injury triggering FND

Great to see a full page spread in @theglobeandmail.com on a topic that needs more attention

Her eloquent narrative is a perfect (and timely) complement to our recent BJSM piece. Article ⬇️
Reposted by Matthew Burke
jonstoneneuro.bsky.social
How common is FND?

‘Incidence and Prevalence of Functional Neurological Disorder: A systematic review’ – a new open access article in JNNP led by Sara Finkelstein with Clare Diamond, and @alancarson15.bsky.social
jnnp.bmj.com/content/earl... 1/🧵
mattburkemd.bsky.social
Finally, many of these themes have been articulated by @alancarson15.bsky.social @jonstoneneuro.bsky.social @lauramcw.bsky.social and others...but have not yet made their way to mainstream concussion care. We hope this practical framework helps bridge gaps and increase crosstalk between disciplines
mattburkemd.bsky.social
when they may actually benefit most from an opposite approach utilizing CBT-based principles and aiming to reduce symptom preoccupation, redirect attention, reframe beliefs, and encourage graded exposure to avoided activities (reducing fear avoidance behaviors).
mattburkemd.bsky.social
We try to summarize the implications of these issues through a case vignette in the Online Supplement. We discuss how a patient with FND triggered by head injury may be harmed by some standard PCS/PPCS rehabilitation protocols that encourage close monitoring of symptoms etc
mattburkemd.bsky.social
We also hone in on Curve 3 - synergism between concussion and FND presenting a potential ‘two hit’ hypothesis to the same/vulnerable brain circuits. We had to squish this into the figure legend due to word limits...but certainly worth a read.
mattburkemd.bsky.social
This includes discussion of brain/body threat signaling mechanisms and nocebo effects (negative expectations generating/amplifying symptoms). The latter can be induced by well-intentioned public health campaigns, media coverage of rare cases with catastrophic outcomes etc.
mattburkemd.bsky.social
In this piece, we start with a general intro to FND for a sports/ER/generalist audience who may be largely unaware of or hold misconceptions about FND. We then explore traditional and emerging models for how/why head injury is increasingly triggering FND in patients
mattburkemd.bsky.social
Ignoring this diagnostic heterogeneity has significantly held back concussion research and continues to impact patient outcomes
mattburkemd.bsky.social
These curves are often wrongfully all given the same label of post-concussion syndrome/symptoms (PCS/PPCS)...but some patients may have not even had a concussion in the first place (FND triggered by head/neck injury) and others may have a complex interplay between concussion and FND.
mattburkemd.bsky.social
New to #bluesky and excited to share a new publication at the interface of my two main clinical interests in neuropsychiatry.

"New Framework for the Continuum of Concussion and Functional Neurological Disorder" with @silverberglab.bsky.social in BJSM. Thread below 🧵

bjsm.bmj.com/content/earl...