Clinical neurophysiology of functional motor disorders: IFCN Handbook Chapter.
ABSTRACT
Functional Motor Disorders are common and disabling. Clinical diagnosis has moved from one of exclusion of other causes for symptoms to one where positive clinical features on history and examination are used to make a "rule in" diagnosis wherever possible. Clinical neurophysiological assessments have developed increasing importance in assisting with this positive diagnosis, not being used simply to demonstrate normal sensory-motor pathways, but instead to demonstrate specific abnormalities that help to positively diagnose these disorders. Here we provide a practical review of these techniques, their application, interpretation and pitfalls. We also highlight particular areas where such tests are currently lacking in sensitivity and specificity, for example in people with functional dystonia and functional tic-like movements.
New comment by at University of Maryland Medical Center ( September 19, 2024)
I wouldn’t say his answer necessarily contradicts current evidence. Two things can be true at the same time, namely that FND is a psychiatric condition that manife...