{"id":356,"date":"2014-04-01T12:59:01","date_gmt":"2014-04-01T12:59:01","guid":{"rendered":"https:\/\/blogs.bmj.com\/jnnp\/?p=356"},"modified":"2014-04-01T12:59:42","modified_gmt":"2014-04-01T12:59:42","slug":"psychogenic-disorders-and-persist-disability","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/jnnp\/2014\/04\/01\/psychogenic-disorders-and-persist-disability\/","title":{"rendered":"Psychogenic disorders and persistent disability?"},"content":{"rendered":"

Psychogenic motor disorders may be frequently encountered in “organic” neurology, especially in the world of movement disorders.\u00a0 This group of disorders needs to be distinguished from malingering as the patients really feel that they have a functional deficits even though neurology can not explain the site and origins of deficits.\u00a0 Indeed, transcranial magnetic stimulation studies have documented\u00a0 abnormalities of cortical function, suggesting a potential organic component to these vexing disorders.<\/p>\n

In the February issue of JNNP, Alan Carsons’ group report an interesting systemic review\u00a0 on the prognosis of psychogenic, or functional, disorders.\u00a0 Not surprisingly, this\u00a0 field of neurology is in need of more \u00a0 and better controlled studies.\u00a0 The findings, however, are important underscoring\u00a0 the persistent physical burden on patients classified to be “functional”.\u00a0 As such, hiding such patients in closets, as fearful English neurology registrars of the 1930s and 1940s embarked upon to prevent the ire of their more senior colleagues, or galvanic stimulation, will simply not work.\u00a0 The authors are correct to highlight the need for more studies in order to develop better risk factor paradigms so as to enable more efficacious treatment.<\/p>\n

READ THIS REVIEW at: http:\/\/jnnp.bmj.com\/content\/85\/2\/220.abstract<\/p>\n

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Research paper:<\/span> <\/span>The prognosis of functional (psychogenic) motor symptoms: a systematic review<\/h4>\n