Functional movement disorders

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TitreFunctional movement disorders
Type de publicationJournal Article
Year of Publication2020
AuteursGalli S., Bereau M., Magnin E., Moulin T., Aybek S.
JournalREVUE NEUROLOGIQUE
Volume176
Pagination244-251
Date PublishedMAY
Type of ArticleReview
ISSN0035-3787
Mots-clésConversion disorder, Functional movement disorder, Functional neurological disorder, Psychogenic
Résumé

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. (C) 2019 Elsevier Masson SAS. All rights reserved.

DOI10.1016/j.neurol.2019.08.007