Opinions and clinical practices related to diagnosing and managing functional (psychogenic) movement disorders: changes in the last decade.

European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies
K LaFaverA J Espay

Abstract

There is large variability in the diagnostic approach and clinical management in functional movement disorders (FMD). This study aimed to examine whether opinions and clinical practices related to FMD have changed over the past decade. Adapted from a 2008 version, we repeated the survey to members of the International Parkinson and Movement Disorder Society (MDS). In all, 864/7689 responses (denominator includes non-neurologists) were received from 92 countries. Respondents were more often male (55%), younger than 45 (65%) and from academic practices (85%). Although the likelihood of ordering neurological investigations prior to delivering a diagnosis of FMD was nearly as high as in 2008 (47% vs. 51%), the percentage of respondents communicating the diagnosis without requesting additional tests increased (27% vs. 19%; P = 0.003), with most envisioning their role as providing a diagnosis and coordinating management (57% vs. 40%; P < 0.001). Compared to patients with other disorders, 64% of respondents were more concerned about missing a diagnosis of another neurological disorder. Avoiding iatrogenic harm (58%) and educating patients about the diagnosis (53%) were again rated as the most effective therapeutic options. Frequent tr...Continue Reading

References

Apr 15, 2003·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Janis M MiyasakiAnthony E Lang
May 25, 2010·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Mark Hallett
Oct 1, 2011·Movement Disorders : Official Journal of the Movement Disorder Society·Petra SchwingenschuhMark J Edwards
Jul 12, 2013·Movement Disorders : Official Journal of the Movement Disorder Society·Mark J EdwardsAnthony E Lang
Apr 23, 2015·Current Neurology and Neuroscience Reports·Alberto J Espay, Anthony E Lang
Jun 4, 2015·Continuum : Lifelong Learning in Neurology·Jon Stone, Alan Carson
Sep 15, 2015·Parkinsonism & Related Disorders·Mark Hallett
Jan 16, 2016·Practical Neurology·Alan CarsonJon Stone
Feb 18, 2016·Movement Disorders : Official Journal of the Movement Disorder Society·Petra SchwingenschuhMark J Edwards
Oct 11, 2016·Handbook of Clinical Neurology·J Gelauff, J Stone
Mar 20, 2018·Journal of Neurology, Neurosurgery, and Psychiatry·Benjamin D WisselAlberto J Espay
Mar 25, 2018·Journal of the Neurological Sciences·Giulia Frasca PolaraSelma Aybek
Jun 6, 2018·JAMA Neurology·Alberto J EspayFrancesca Morgante
Jul 17, 2018·Seminars in Neurology·Conor Fearon, Orna O'Toole
Sep 23, 2018·Journal of Neurology, Neurosurgery, and Psychiatry·Roberto Erro, Kailash P Bhatia
Nov 21, 2018·Journal of Neurology, Neurosurgery, and Psychiatry·Susannah PickTimothy R Nicholson
Feb 13, 2019·Current Neurology and Neuroscience Reports·Jacob J RoelofsMark J Edwards
May 24, 2019·The Journal of Neuropsychiatry and Clinical Neurosciences·Stoyan PopkirovJon Stone
Jun 6, 2019·Brain : a Journal of Neurology·Jeannette M GelauffJon Stone
Aug 31, 2019·The Journal of Neuropsychiatry and Clinical Neurosciences·Benjamin TolchinBarbara A Dworetzky

❮ Previous
Next ❯

Citations

Nov 22, 2020·Journal of Neurology, Neurosurgery, and Psychiatry·Lillian WiederDevin B Terhune
Nov 22, 2020·Journal of Neurology, Neurosurgery, and Psychiatry·Stoyan Popkirov, Timothy R Nicholson
Nov 10, 2020·Movement Disorders Clinical Practice·Michele TinazziChristian Geroin
Mar 17, 2021·Journal of Neurology, Neurosurgery, and Psychiatry·David L PerezW Curt LaFrance
Mar 18, 2021·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Emilia M GattoUNKNOWN Rare Movement Disorders Study Group of the International Parkinson Disease, Movement Disorders Society
Sep 12, 2021·Clinical Medicine : Journal of the Royal College of Physicians of London·Andrew Whitfield
Nov 14, 2021·Journal of Neurology·Noemi PiramideFederica Agosta

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Veterinary Record
A I Donaldson, P Kitching
Current Opinion in Neurology
Kathrin Czarnecki, Mark Hallett
The Veterinary Record
A AssinderR Russell
The Veterinary Record
I Richards
© 2021 Meta ULC. All rights reserved