Document Detail

Trick or treat? Showing patients with functional (psychogenic) motor symptoms their physical signs.
MedLine Citation:
PMID:  22764261     Owner:  NLM     Status:  MEDLINE    
Functional (psychogenic) motor symptoms are diagnosed on the basis of positive signs of inconsistency or incongruity with known neurologic disease. These signs, such as Hoover sign or tremor entrainment, are often regarded by neurologists as 'tricks of the trade,' to 'catch the patient out, ' and certainly not to be shared with them. In this reflective article, the authors suggest that showing the patient with functional motor symptoms their physical signs, if done in the right way, is actually one of the most useful things a neurologist can do for these patients in persuading them of the accuracy of their diagnosis and the potential reversibility of their symptoms.
Jon Stone; Mark Edwards
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2012-07-03
Journal Detail:
Title:  Neurology     Volume:  79     ISSN:  1526-632X     ISO Abbreviation:  Neurology     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-07-17     Completed Date:  2012-10-03     Revised Date:  2013-04-05    
Medline Journal Info:
Nlm Unique ID:  0401060     Medline TA:  Neurology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  282-4     Citation Subset:  AIM; IM    
Department of Clinical Neurosciences, University of Edinburgh, Western General Hospital, Edinburgh, UK.
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MeSH Terms
Gait Disorders, Neurologic / psychology,  therapy
Magnetic Resonance Imaging
Movement Disorders / psychology*,  therapy*
Muscle Weakness / psychology,  therapy
Neurologic Examination
Psychophysiologic Disorders / psychology*,  therapy*
Tremor / diagnosis
Comment In:
Neurology. 2013 Feb 26;80(9):869   [PMID:  23439704 ]
Neurology. 2013 Feb 26;80(9):869

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