Suggestibility as a valuable criterion for laboratory-supported definite functional movement disorders

Autor: Gerard Saranza, Daniel Vargas-Mendez, Anthony E. Lang, Robert Chen
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Clinical Neurophysiology Practice, Vol 6, Iss , Pp 103-108 (2021)
Druh dokumentu: article
ISSN: 2467-981X
DOI: 10.1016/j.cnp.2021.03.001
Popis: Objective: To evaluate the application of suggestibility in electrophysiologic studies as a tool to increase the diagnostic certainty of “laboratory-supported definite” FMD. Methods: We retrospectively reviewed the electrophysiologic studies performed in our center on patients with FMD. Recordings where suggestibility was included in the test battery were then selected. Results: We present three cases with equivocal clinical features, but with findings on electrophysiologic studies that were consistent with “laboratory-supported definite” FMD. Conclusion: When combined with other tests, demonstration of suggestibility in electrophysiologic studies may increase the accuracy in differentiating functional from organic movement disorders. Significance: This case series is an essential first step in evaluating the applicability of suggestibility as an electrophysiologic criterion to aid in the diagnosis of FMD. Application in a larger cohort, incorporation in a test battery, and validation studies, including quantitative evaluation of suggestibility, are required to assess the reliability and the added value of this test.
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