دورية أكاديمية
Diagnosing functional neurological disorder: seeing the whole picture.
| العنوان: | Diagnosing functional neurological disorder: seeing the whole picture. |
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| المؤلفون: | Lidstone SC; Edmond J. Safra Program in Parkinson's Disease and the Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital and the University of Toronto, Toronto, Ontario, Canada., Nassif W; Department of Psychiatry, Emory University, and the Veterans Affairs Medical Center, Atlanta, Georgia, USA., Juncos J; Department of Neurology, Jean and Paul Amos Parkinson's Disease and Movement Disorders Program, Emory University, Atlanta, Georgia, USA., Factor SA; Department of Neurology, Jean and Paul Amos Parkinson's Disease and Movement Disorders Program, Emory University, Atlanta, Georgia, USA., Lang AE; Edmond J. Safra Program in Parkinson's Disease and the Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital and the University of Toronto, Toronto, Ontario, Canada. |
| المصدر: | CNS spectrums [CNS Spectr] 2020 Nov 09, pp. 1-8. Date of Electronic Publication: 2020 Nov 09. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Cambridge University Press Country of Publication: United States NLM ID: 9702877 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1092-8529 (Print) Linking ISSN: 10928529 NLM ISO Abbreviation: CNS Spectr Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Nov. 2011- : New York : Cambridge University Press Original Publication: New York, NY : MBL Communications, c1996- |
| مستخلص: | Functional neurological disorder (FND) is a complex neuropsychiatric syndrome with many phenotypes that are commonly encountered in clinical practice. Despite the heterogeneity of FND, the rate of misidentification is consistently low. For the more common motor subtypes, there are clear positive clinical, electrophysiological, and rarely imaging criteria that can establish the diagnosis in the traditional sense. For nonmotor subtypes, the characterization may be less clear. Here, we argue that the current diagnostic criteria are not reflective of the current shared neuropsychiatric understanding of FND, and, as a result, provide an incomplete picture of the diagnosis. We propose a three-step diagnostic triad for FND, in which the traditional neurological diagnosis is only the first element. Other steps include psychiatric/psychological formulation, integration, and follow-up. We advocate that this diagnostic approach should be the shared responsibility of neurology and mental health professionals. Finally, a research agenda is proposed to address the missing factors in the field. |
| فهرسة مساهمة: | Keywords: Diagnosis; functional movement disorder; functional neurological disorder; positive signs; psychogenic movement disorder; psychogenic nonepileptic seizures |
| تواريخ الأحداث: | Date Created: 20201109 Latest Revision: 20240222 |
| رمز التحديث: | 20240223 |
| DOI: | 10.1017/S1092852920001996 |
| PMID: | 33161935 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1092-8529 |
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| DOI: | 10.1017/S1092852920001996 |