Symptoms Without Clear Pathology: Dr Bruno Silva, Consultant Neuropsychiatrist | INNEG Webinar

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Claims involving persistent cognitive, emotional, or functional symptoms without clear structural pathology remain some of the most challenging and contested cases in both personal injury and clinical negligence litigation.

In this on-demand webinar, Dr Bruno Silva, Consultant Neuropsychiatrist and Medico-Legal Expert Witness, provides expert clinical insight into how neuropsychiatric symptoms are assessed, interpreted, and relied upon in medico-legal settings.

Drawing on real-world medico-legal experience and anonymised case examples, Dr Silva explores how neuropsychiatric evidence can help:
Clarify causation where imaging or investigations are inconclusive
Differentiate functional and organic presentations
Address disputes around diagnosis, symptom validity, and prognosis
Support clear, defensible expert opinions in complex claims

This session is particularly relevant to solicitors handling cases involving:
Functional Neurological Disorder (FND)
Functional Cognitive Disorder (FCD)
Chronic fatigue and post-viral syndromes
Neuropsychiatric sequelae of brain injury
Persistent cognitive or psychiatric symptoms without clear pathology

What you’ll learn:
How functional and neuropsychiatric symptoms commonly present in PI and CN claims
Common diagnostic and evidential pitfalls in cases without structural pathology
The role of neuropsychiatric assessment in causation, symptom validity, and prognosis
How to strengthen instructions to neuropsychiatric experts
How to improve defensibility in complex, disputed claims

About the Speaker:
Dr Bruno Silva is a Consultant Neuropsychiatrist and Medico-Legal Expert Witness, regularly instructed in personal injury, clinical negligence, and forensic matters. He is a Consultant at Birmingham and Solihull Mental Health NHS Foundation Trust, where he leads the Chronic Fatigue Service, and is an Honorary Associate Clinical Professor at the University of Birmingham. His medico-legal practice frequently involves complex neuropsychiatric presentations where diagnostic uncertainty and symptom validity are central issues.