Inconsistency and incongruence: the two diagnostic pillars of functional movement disorder

FMD is not a diagnosis of exclusion and can be established by clearly demonstrating the two clinical pillars of the disorder: inconsistency (or variability or distractibility) of the amplitude, distribution, and severity of the phenotype; and incongruence with the wide spectrum of manifestations of...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:The Lancet (British edition) 2022-07, Vol.400 (10348), p.328-328
Hauptverfasser: Hess, Christopher W, Espay, Alberto J, Okun, Michael S
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 328
container_issue 10348
container_start_page 328
container_title The Lancet (British edition)
container_volume 400
creator Hess, Christopher W
Espay, Alberto J
Okun, Michael S
description FMD is not a diagnosis of exclusion and can be established by clearly demonstrating the two clinical pillars of the disorder: inconsistency (or variability or distractibility) of the amplitude, distribution, and severity of the phenotype; and incongruence with the wide spectrum of manifestations of other neurological disorders. [...]delivering and explaining the diagnosis to the patient is a critical step in the care pathway. AJE has received grant support from the National Institutes of Health (NIH) and the Michael J Fox Foundation; personal compensation as a consultant and scientific advisory board member for Neuroderm, Neurocrine, Amneal, Acadia, Acorda, Bexion, Kyowa Kirin, Sunovion, Supernus (formerly, USWorldMeds), Avion Pharmaceuticals, and Herantis Pharma; personal compensation as honoraria for speakership for Avion; and publishing royalties from Lippincott Williams & Wilkins, Cambridge University Press, and Springer.
doi_str_mv 10.1016/S0140-6736(22)01184-9
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2694415025</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2692657262</sourcerecordid><originalsourceid>FETCH-LOGICAL-c314t-ba3d40cc1a34bba840f464907c423e194e76a2e53ee02c9bca60c5d00f9a0f853</originalsourceid><addsrcrecordid>eNpd0EtLAzEUBeAgCtbqTxACbupi9OY5HXdSfBQKLlQQNyGTydQp06QmGaX_3plWXLi6cPi4HA5C5wSuCBB5_QyEQyZzJieUXgIhU54VB2hEeM4zwfO3QzT6I8foJMYVAHAJYoTe5854F5uYrDNbrF2FmyFZhq4P7A1OHxanb4-rRi-dj6kxeNO0rQ4R-xrXnTOp8U63eO2_7Nq61MvoQ2XDKTqqdRvt2e8do9f7u5fZY7Z4epjPbheZYYSnrNSs4mAM0YyXpZ5yqLnkBeSGU2ZJwW0uNbWCWQvUFKXREoyoAOpCQz0VbIwm-7-b4D87G5NaN9HYvqOzvouKyoJzIoAO9OIfXfku9O13ikqRU0l7JfbKBB9jsLXahGatw1YRUMPiare4GuZUlKrd4qpgPzeLdOc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2692657262</pqid></control><display><type>article</type><title>Inconsistency and incongruence: the two diagnostic pillars of functional movement disorder</title><source>Elsevier ScienceDirect Journals</source><creator>Hess, Christopher W ; Espay, Alberto J ; Okun, Michael S</creator><creatorcontrib>Hess, Christopher W ; Espay, Alberto J ; Okun, Michael S</creatorcontrib><description>FMD is not a diagnosis of exclusion and can be established by clearly demonstrating the two clinical pillars of the disorder: inconsistency (or variability or distractibility) of the amplitude, distribution, and severity of the phenotype; and incongruence with the wide spectrum of manifestations of other neurological disorders. [...]delivering and explaining the diagnosis to the patient is a critical step in the care pathway. AJE has received grant support from the National Institutes of Health (NIH) and the Michael J Fox Foundation; personal compensation as a consultant and scientific advisory board member for Neuroderm, Neurocrine, Amneal, Acadia, Acorda, Bexion, Kyowa Kirin, Sunovion, Supernus (formerly, USWorldMeds), Avion Pharmaceuticals, and Herantis Pharma; personal compensation as honoraria for speakership for Avion; and publishing royalties from Lippincott Williams &amp; Wilkins, Cambridge University Press, and Springer.</description><identifier>ISSN: 0140-6736</identifier><identifier>EISSN: 1474-547X</identifier><identifier>DOI: 10.1016/S0140-6736(22)01184-9</identifier><language>eng</language><publisher>London: Elsevier Limited</publisher><subject>Attention ; Compensation ; Diagnosis ; Grants ; Laboratories ; Medical diagnosis ; Medical imaging ; Movement disorders ; Neuroimaging ; Neurological diseases ; Pharmaceuticals ; Phenotypes</subject><ispartof>The Lancet (British edition), 2022-07, Vol.400 (10348), p.328-328</ispartof><rights>2022. Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c314t-ba3d40cc1a34bba840f464907c423e194e76a2e53ee02c9bca60c5d00f9a0f853</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids></links><search><creatorcontrib>Hess, Christopher W</creatorcontrib><creatorcontrib>Espay, Alberto J</creatorcontrib><creatorcontrib>Okun, Michael S</creatorcontrib><title>Inconsistency and incongruence: the two diagnostic pillars of functional movement disorder</title><title>The Lancet (British edition)</title><description>FMD is not a diagnosis of exclusion and can be established by clearly demonstrating the two clinical pillars of the disorder: inconsistency (or variability or distractibility) of the amplitude, distribution, and severity of the phenotype; and incongruence with the wide spectrum of manifestations of other neurological disorders. [...]delivering and explaining the diagnosis to the patient is a critical step in the care pathway. AJE has received grant support from the National Institutes of Health (NIH) and the Michael J Fox Foundation; personal compensation as a consultant and scientific advisory board member for Neuroderm, Neurocrine, Amneal, Acadia, Acorda, Bexion, Kyowa Kirin, Sunovion, Supernus (formerly, USWorldMeds), Avion Pharmaceuticals, and Herantis Pharma; personal compensation as honoraria for speakership for Avion; and publishing royalties from Lippincott Williams &amp; Wilkins, Cambridge University Press, and Springer.</description><subject>Attention</subject><subject>Compensation</subject><subject>Diagnosis</subject><subject>Grants</subject><subject>Laboratories</subject><subject>Medical diagnosis</subject><subject>Medical imaging</subject><subject>Movement disorders</subject><subject>Neuroimaging</subject><subject>Neurological diseases</subject><subject>Pharmaceuticals</subject><subject>Phenotypes</subject><issn>0140-6736</issn><issn>1474-547X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpd0EtLAzEUBeAgCtbqTxACbupi9OY5HXdSfBQKLlQQNyGTydQp06QmGaX_3plWXLi6cPi4HA5C5wSuCBB5_QyEQyZzJieUXgIhU54VB2hEeM4zwfO3QzT6I8foJMYVAHAJYoTe5854F5uYrDNbrF2FmyFZhq4P7A1OHxanb4-rRi-dj6kxeNO0rQ4R-xrXnTOp8U63eO2_7Nq61MvoQ2XDKTqqdRvt2e8do9f7u5fZY7Z4epjPbheZYYSnrNSs4mAM0YyXpZ5yqLnkBeSGU2ZJwW0uNbWCWQvUFKXREoyoAOpCQz0VbIwm-7-b4D87G5NaN9HYvqOzvouKyoJzIoAO9OIfXfku9O13ikqRU0l7JfbKBB9jsLXahGatw1YRUMPiare4GuZUlKrd4qpgPzeLdOc</recordid><startdate>20220723</startdate><enddate>20220723</enddate><creator>Hess, Christopher W</creator><creator>Espay, Alberto J</creator><creator>Okun, Michael S</creator><general>Elsevier Limited</general><scope>AAYXX</scope><scope>CITATION</scope><scope>0TT</scope><scope>0TZ</scope><scope>0U~</scope><scope>3V.</scope><scope>7QL</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88C</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8C2</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>KB~</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7N</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20220723</creationdate><title>Inconsistency and incongruence: the two diagnostic pillars of functional movement disorder</title><author>Hess, Christopher W ; Espay, Alberto J ; Okun, Michael S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c314t-ba3d40cc1a34bba840f464907c423e194e76a2e53ee02c9bca60c5d00f9a0f853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Attention</topic><topic>Compensation</topic><topic>Diagnosis</topic><topic>Grants</topic><topic>Laboratories</topic><topic>Medical diagnosis</topic><topic>Medical imaging</topic><topic>Movement disorders</topic><topic>Neuroimaging</topic><topic>Neurological diseases</topic><topic>Pharmaceuticals</topic><topic>Phenotypes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hess, Christopher W</creatorcontrib><creatorcontrib>Espay, Alberto J</creatorcontrib><creatorcontrib>Okun, Michael S</creatorcontrib><collection>CrossRef</collection><collection>News PRO</collection><collection>Pharma and Biotech Premium PRO</collection><collection>Global News &amp; ABI/Inform Professional</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Lancet Titles</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>British Nursing Index</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>ProQuest Newsstand Professional</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>The Lancet (British edition)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hess, Christopher W</au><au>Espay, Alberto J</au><au>Okun, Michael S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inconsistency and incongruence: the two diagnostic pillars of functional movement disorder</atitle><jtitle>The Lancet (British edition)</jtitle><date>2022-07-23</date><risdate>2022</risdate><volume>400</volume><issue>10348</issue><spage>328</spage><epage>328</epage><pages>328-328</pages><issn>0140-6736</issn><eissn>1474-547X</eissn><abstract>FMD is not a diagnosis of exclusion and can be established by clearly demonstrating the two clinical pillars of the disorder: inconsistency (or variability or distractibility) of the amplitude, distribution, and severity of the phenotype; and incongruence with the wide spectrum of manifestations of other neurological disorders. [...]delivering and explaining the diagnosis to the patient is a critical step in the care pathway. AJE has received grant support from the National Institutes of Health (NIH) and the Michael J Fox Foundation; personal compensation as a consultant and scientific advisory board member for Neuroderm, Neurocrine, Amneal, Acadia, Acorda, Bexion, Kyowa Kirin, Sunovion, Supernus (formerly, USWorldMeds), Avion Pharmaceuticals, and Herantis Pharma; personal compensation as honoraria for speakership for Avion; and publishing royalties from Lippincott Williams &amp; Wilkins, Cambridge University Press, and Springer.</abstract><cop>London</cop><pub>Elsevier Limited</pub><doi>10.1016/S0140-6736(22)01184-9</doi><tpages>1</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0140-6736
ispartof The Lancet (British edition), 2022-07, Vol.400 (10348), p.328-328
issn 0140-6736
1474-547X
language eng
recordid cdi_proquest_miscellaneous_2694415025
source Elsevier ScienceDirect Journals
subjects Attention
Compensation
Diagnosis
Grants
Laboratories
Medical diagnosis
Medical imaging
Movement disorders
Neuroimaging
Neurological diseases
Pharmaceuticals
Phenotypes
title Inconsistency and incongruence: the two diagnostic pillars of functional movement disorder
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-31T14%3A40%3A13IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Inconsistency%20and%20incongruence:%20the%20two%20diagnostic%20pillars%20of%20functional%20movement%20disorder&rft.jtitle=The%20Lancet%20(British%20edition)&rft.au=Hess,%20Christopher%20W&rft.date=2022-07-23&rft.volume=400&rft.issue=10348&rft.spage=328&rft.epage=328&rft.pages=328-328&rft.issn=0140-6736&rft.eissn=1474-547X&rft_id=info:doi/10.1016/S0140-6736(22)01184-9&rft_dat=%3Cproquest_cross%3E2692657262%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2692657262&rft_id=info:pmid/&rfr_iscdi=true