A Survey of Neurologists on the Likeability of Headaches and Other Neurological Disorders

Evans, Randolph W.; Evans, Rochelle E.

doi:10.1111/j.1526-4610.2010.01708.x

Cited by 34 publications

(39 citation statements)

References 11 publications

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“…FNS came bottom of a recent survey of US neurologists' ‘most likeable conditions’ 2. This has been reflected in a dearth of research interest over the previous century.…”

Section: Introductionmentioning

confidence: 99%

Functional (conversion) neurological symptoms: research since the millennium

Carson

Brown²,

David

et al. 2012

J Neurol Neurosurg Psychiatry

135

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Functional neurological symptoms (FNS) are commonly encountered but have engendered remarkably little academic interest. 'UK-Functional Neurological Symptoms (UK-FNS)' was an informal inaugural meeting of UK based clinicians in March 2011 with a variety of research and clinical interests in the field. This narrative review reflects the content of the meeting, and our opinion of key findings in the field since the turn of the millennium.

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“…FNS came bottom of a recent survey of US neurologists' ‘most likeable conditions’ 2. This has been reflected in a dearth of research interest over the previous century.…”

Section: Introductionmentioning

confidence: 99%

Functional (conversion) neurological symptoms: research since the millennium

Carson

Brown²,

David

et al. 2012

J Neurol Neurosurg Psychiatry

135

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“…Neurologists, researchers and even psychiatrists have not had much interest in these patients, and, in fact, do not even like to take care of them. In a survey of neurologists of what types of patients they liked to treat, psychogenic (functional) neurological disorders ranked last of 20 diagnoses [6]. They are certainly difficult and often require more time than the average patient.…”

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confidence: 99%

Functional (psychogenic) movement disorders – Clinical presentations

Hallett

2016

Parkinsonism & Related Disorders

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Functional or psychogenic movement disorders are common and disabling, and sometime difficult to diagnose. The history and physical exam can give positive features that will support the diagnosis, which should not be based solely on exclusion. Some clues in the history are sudden onset, intermittent time course, variability of manifestation over time, childhood trauma, history of other somatic symptom and secondary gain. Anxiety and depression are common, but not necessarily more than the general population. On examination, distraction and suggestibility may be present. There are specific signs that should be looked for with different types of movements. For example, with tremor, change in frequency over time and entrainment are common features. With myoclonus, the movements might be complex in type with long latencies to stimulus induced jerks. Gait disorders show good balance despite claims to the contrary. Functional dystonia still remains a challenging diagnosis in many circumstances, although fixed dystonia is one sign more likely to be functional.

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“…Psychiatry has a strong claim on this with mental illness generally regarded as among the most feared and least understood 1. And within psychiatry there is a similar hierarchy such that patients with ‘hysteria’ or conversion disorder (CD) are those found to be least satisfying to treat and are least liked by psychiatrists—the feeling is mutual of course 2 3…”

mentioning

confidence: 99%