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Proud dual Nationality NHS Neurologist. Dad, environmentalist. The Economist for bedtime reading

Guildford, England
Joined December 2015
Photo by Coebergh (@CoeberghJan)Photo by Coebergh (@CoeberghJan)Photo by Coebergh (@CoeberghJan)Photo by Coebergh (@CoeberghJan)Photo by Coebergh (@CoeberghJan)Photo by Coebergh (@CoeberghJan)Photo by Coebergh (@CoeberghJan)Photo by Coebergh (@CoeberghJan)
🎙️ New FNDS Podcast Episode! Dr. Jan Coebergh joins us to discuss FND rule-in signs, functional tremor, the “broken escalator” phenomenon, migraines, and more. 🎧 Listen to Season 3, Episode 5: Jan Coebergh: Rule In Signs, Migraines, and More 🔗loom.ly/OAROYqk
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5/5 These experiences can be poorly tolerated. Over 65% found them burdensome, most had little control, and behavioural strategies (listening to music, distraction, humming) usually provided only temporary relief. rdcu.be/fsgXq
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4/5 Phenomenology matters. Most patients experienced the music inside the head, but external localisation more common with familiar music and (especially asymmetric) hearing loss. Religious music most common, but ranged from childhood songs to jingles—and even "melodic zombies."
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3/5 One of the striking findings: multimodal hallucinations were common. Nearly 44% experienced hallucinations or perceptual disturbances in other sensory modalities, and tinnitus present in 40%. This suggests distributed network dysfunction and not a purely auditory phenomenon.
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2/5 Mixed aetiology was the rule rather than the exception. Psychiatric illness (50%), hearing loss (50%) and structural neurological disease (28%) frequently co-existed. Musical hallucinations rarely fit neatly into a single diagnostic box—they are a symptom, not a diagnosis.
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1/5 🎵 New article out: Detailed clinical characteristics of musical hallucinations in 81 patients in Journal of Neurology: Musical hallucinations are often portrayed as a rare phenomenon in elderly women with hearing loss. We found a much broader clinical spectrum. Here's a 🧵
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Online option available. 40£ for AHP and 65£ for consultants. Welcoming and wide ranging discussion @jonstoneneuro @drjprogers @CNicholsonOT @GNielsen_Physio @kateoholt @FNDAction @FNDHopeUK @BibaStanton
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3rd Multidisciplinary Symposium in Functional Disorders • City St George's, University of London 11/09/2026 with wide range of speakers and topics including Prof Jon Stone, Prof Mark Edwards, Prof Trudy Chalder, Biba Stanton, Clare Nicholson and Jonathan Rogers. 1/2
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In collaborate with the @anpadirect #FND Significant Interest Group, #JNCN has published a curated collection of 10 articles in Functional Neurological Disorder - spanning 1994-2025. Check them out! @FNDSociety @FNDHope psychiatryonline.org/doi/10.…
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What do moths, chameleons, & Dutch Elm disease have to do with neurology? @ajlees reviews Nature Within by James Bashford, examining how 'nature deficit disorder' may impact cognitive health & why doctors should look beyond the clinic walls. Read it here: acnr.co.uk/book-review/natur…
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The “Hallett Sign” - in honour of Mark Hallett (1943-2025) movementdisorders.onlinelibr… @AlanCarson15 @JankovicJoseph
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Management of Acute Dizziness & Vertigo This 1-day masterclass from @CityStG_Health will equip you with practical, evidence-based knowledge & skills that will allow you to confidently diagnose & treat patients with acute vertigo. Find out more here: citystgeorges.ac.uk/prospect…
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Replying to @BBCNews
@BBCNews I’m puzzled why you wrote this story as if there was scientific equipoise about whether there is a mystery brain disease ? The headline is especially misleading. Could it be that amplifying uncertainty gets you more readers than - “there was no mystery”?
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These findings suggest exploring dreams, nightmares, sleep paralysis, sleep and its disorders are a way to improve symptoms, care and understanding 5/5
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Among those who experienced functional seizures, 74% reported that they arose during sleep, which might be influenced also by difficulty recognising sleep/wake and their transition. Very few participants had discussed dream with a healthcare professional 4/n
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Many (46%) noticed symptom improvement after a good night’s sleep. Most (88%) reported worsening of functional symptoms when falling asleep, during sleep, or when waking up. About one-quarter noted symptom changes after specific dreams or nightmares. 3/n
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