Functional movement disorders
Functional movement disorders (FMD) represent a complex and disabling entity characterized by a broad range of clinical symptoms not explained by a classical neurological disease. In 2013, the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) added a clinical criterion based on incongrue...
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Veröffentlicht in: | Revue neurologique 2020-05, Vol.176 (4), p.244-251 |
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creator | Galli, S. Béreau, M. Magnin, E. Moulin, T. Aybek, S. |
description | Functional movement disorders (FMD) represent a complex and disabling entity characterized by a broad range of clinical symptoms not explained by a classical neurological disease. In 2013, the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) added a clinical criterion based on incongruence and inconsistency, supported by recent literature highlighting the role of "positive clinical signs". These clinical signs allow a "rule-in" procedure in making a diagnosis of FMD so that the diagnosis is no longer a "rule-out" or "by default" diagnosis made after exclusion of other neurological conditions. This review summarizes current evidence on common clinical features and highlights bedside signs in FMD, such as tremor, dystonia, myoclonus and parkinsonism. Tics, chorea and hemiballism are also briefly discussed. |
doi_str_mv | 10.1016/j.neurol.2019.08.007 |
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In 2013, the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) added a clinical criterion based on incongruence and inconsistency, supported by recent literature highlighting the role of "positive clinical signs". These clinical signs allow a "rule-in" procedure in making a diagnosis of FMD so that the diagnosis is no longer a "rule-out" or "by default" diagnosis made after exclusion of other neurological conditions. This review summarizes current evidence on common clinical features and highlights bedside signs in FMD, such as tremor, dystonia, myoclonus and parkinsonism. 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In 2013, the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) added a clinical criterion based on incongruence and inconsistency, supported by recent literature highlighting the role of "positive clinical signs". These clinical signs allow a "rule-in" procedure in making a diagnosis of FMD so that the diagnosis is no longer a "rule-out" or "by default" diagnosis made after exclusion of other neurological conditions. This review summarizes current evidence on common clinical features and highlights bedside signs in FMD, such as tremor, dystonia, myoclonus and parkinsonism. Tics, chorea and hemiballism are also briefly discussed.</description><subject>Diagnostic and Statistical Manual of Mental Disorders</subject><subject>Diagnostic Techniques, Neurological</subject><subject>History, 21st Century</subject><subject>Humans</subject><subject>Life Sciences</subject><subject>Movement Disorders</subject><issn>0035-3787</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNqVyr0KwjAUQOEMiq0_b6DQ1aHx3oYmdRSxdHB0D8FGTEkTSdqCby-CL-B04OMQskWgCMgPHXV6DN7SAvBIoaIAYkZSAFbmTFQiIcsYO4ACBbAFSRhy4MhESnb16O6D8U7ZrPeT7rUbstZEH1od4prMH8pGvfl1Rfb15XZu8qey8hVMr8JbemVkc7rKrwHjDLCECdk_7we3NThx</recordid><startdate>202005</startdate><enddate>202005</enddate><creator>Galli, S.</creator><creator>Béreau, M.</creator><creator>Magnin, E.</creator><creator>Moulin, T.</creator><creator>Aybek, S.</creator><general>Elsevier Masson</general><scope>1XC</scope><orcidid>https://orcid.org/0000-0003-1270-0357</orcidid><orcidid>https://orcid.org/0000-0003-1270-0357</orcidid></search><sort><creationdate>202005</creationdate><title>Functional movement disorders</title><author>Galli, S. ; Béreau, M. ; Magnin, E. ; Moulin, T. ; Aybek, S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-hal_primary_oai_HAL_hal_03630150v13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Diagnostic and Statistical Manual of Mental Disorders</topic><topic>Diagnostic Techniques, Neurological</topic><topic>History, 21st Century</topic><topic>Humans</topic><topic>Life Sciences</topic><topic>Movement Disorders</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Galli, S.</creatorcontrib><creatorcontrib>Béreau, M.</creatorcontrib><creatorcontrib>Magnin, E.</creatorcontrib><creatorcontrib>Moulin, T.</creatorcontrib><creatorcontrib>Aybek, S.</creatorcontrib><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Revue neurologique</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Galli, S.</au><au>Béreau, M.</au><au>Magnin, E.</au><au>Moulin, T.</au><au>Aybek, S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Functional movement disorders</atitle><jtitle>Revue neurologique</jtitle><date>2020-05</date><risdate>2020</risdate><volume>176</volume><issue>4</issue><spage>244</spage><epage>251</epage><pages>244-251</pages><issn>0035-3787</issn><abstract>Functional movement disorders (FMD) represent a complex and disabling entity characterized by a broad range of clinical symptoms not explained by a classical neurological disease. 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subjects | Diagnostic and Statistical Manual of Mental Disorders Diagnostic Techniques, Neurological History, 21st Century Humans Life Sciences Movement Disorders |
title | Functional movement disorders |
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