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Subsets of functional neurological disorders include functional neurologic symptom disorder (FNsD) (conversion disorder), functional movement disorder, and functional seizures. The diagnosis is made based on positive signs and symptoms in the history and examination during consultation of a neurologist. [3]
Movement disorders are clinical syndromes with either an excess of movement or a paucity of voluntary and involuntary movements, unrelated to weakness or spasticity. [1] Movement disorders present with extrapyramidal symptoms and are caused by basal ganglia disease . [ 2 ]
There are many different functional disorder diagnoses that might be given depending on the symptom or syndrome that is most troublesome. There are many examples of symptoms that individuals may experience; some of these include persistent or recurrent pain, fatigue, weakness, shortness of breath or bowel problems.
Conversion disorder is now partly contained under functional neurological symptom disorder (FNsD). In cases of conversion disorder, there is a psychological stressor. The diagnostic criteria for functional neurologic symptom disorder, as set out in DSM-5, are:
[5] [93] Described in 2006 as psychogenic, [96] abrupt-onset movements resembling tics are referred to as a functional movement disorder [98] or functional tic-like movements. [93] [d] Functional tic-like movements can be difficult to distinguish from tics that have an organic (rather than psychological) cause.
A movement disorder similar to PKD was first mentioned in research literature in 1940 by Mount and Reback. They described a disorder consisting of attacks of involuntary movements but unlike PKD, the attacks lasted minutes to hours and were found to be caused by alcohol or caffeine intake. [15] They named it paroxysmal dystonic choreoathetosis.
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