The value of 'positive' clinical signs for weakness, sensory and gait disorders in conversion disorder: A systematic and narrative review

Journal of Neurology, Neurosurgery and Psychiatry

Volumn 85, Issue 2, 2014, Pages 180-190

  Daum, Corinna ^a   Hubschmid, Monica ^a   Aybek, Selma ^a  

^a LAUSANNE UNIVERSITY HOSPITAL   (Switzerland)

Author keywords

[No Author keywords available]

Indexed keywords

CONVERSION DISORDER; GAIT DISORDER; HUMAN; INTERRATER RELIABILITY; LIMB WEAKNESS; MOTOR PERFORMANCE; MUSCLE CONTRACTION; PREDICTIVE VALUE; PRIORITY JOURNAL; PYRAMIDAL SIGN; REVIEW; SENSITIVITY AND SPECIFICITY; SENSORY DYSFUNCTION; SYMPTOM; SYSTEMATIC REVIEW; VIBRATION SENSE; WEAKNESS;

CLINICAL NEUROLOGY; HYSTERIA; PSYCHIATRY; SYSTEMATIC REVIEWS;

CONVERSION DISORDER; GAIT DISORDERS, NEUROLOGIC; HUMANS; MUSCLE WEAKNESS; NEUROLOGIC EXAMINATION; PREDICTIVE VALUE OF TESTS; REPRODUCIBILITY OF RESULTS; SENSATION DISORDERS; SENSITIVITY AND SPECIFICITY;

EID: 84893502138     PISSN: 00223050     EISSN: 1468330X     Source Type: Journal    
DOI: 10.1136/jnnp-2012-304607     Document Type: Review

References (60)

1. APA.Diagnostic and statistical manual of mental disorders: DSM-IV. Washington, DC: American Psychiatric Association, 1994.
2. World Health Organization. ed. The ICD-10. Classification of mental and behavioural disorders. Geneva: The International Classification of Diseases, 1992.
3. Freud S. ed. Studies in hysteria. London: Hogarthe Press, 1895.
4. Kanaan RA, Carson A, Wessely SC, et al. What's so special about conversion disorder? A problem and a proposal for diagnostic classification. Br J Psychiatry 2010;196:427-8.
5. Stone J, Edwards MJ. How "psychogenic" are psychogenic movement disorders? Mov Disord 2011;26:1787-8.
6. Nicholson TR, Stone J, Kanaan RA. Conversion disorder: a problematic diagnosis. J Neurol Neurosurg Psychiatry 2011;82:1267-73.
7. Stone J, LaFrance WC Jr, Brown R, et al. Conversion disorder: current problems and potential solutions for DSM-5. J Psychosom Res 2011;71:369-76.
8. Gould R, Miller BL, Goldberg MA, et al. The validity of hysterical signs and symptoms. J Nerv Ment Dis 1986;174:593-7. (Pubitemid 16006467)
9. Voon V, Lang AE, Hallett M. Diagnosing psychogenic movement disorders-which criteria should be used in clinical practice? Nat Clin Pract Neurol 2007;3:134-5. (Pubitemid 46403938)
10. Avbersek A, Sisodiya S. Does the primary literature provide support for clinical signs used to distinguish psychogenic nonepileptic seizures from epileptic seizures? J Neurol Neurosurg Psychiatry 2010;81:719-25.
11. Schwingenschuh P, Katschnig P, Seiler S, et al. Moving toward "laboratory-supported" criteria for psychogenic tremor. Mov Disord 2011;26:2509-15.
12. Benbadis SR, LaFrance WC Jr, Papandonatos GD, et al. Interrater reliability of EEG-video monitoring. Neurology 2009;73:843-6.
13. McWhirter L, Stone J, Sandercock P, et al. Hoover's sign for the diagnosis of functional weakness: a prospective unblinded cohort study in patients with suspected stroke. J Psychosom Res 2011;71:384-6.
14. Sonoo M. Abductor sign: a reliable new sign to detect unilateral non-organic paresis of the lower limb. J Neurol Neurosurg Psychiatry 2004;75:121-5. (Pubitemid 38091280)
15. Tinazzi M, Simonetto S, Franco L, et al. Abduction finger sign: a new sign to detect unilateral functional paralysis of the upper limb. Mov Disord 2008;23:2415-19.
16. Rolak LA. Psychogenic sensory loss. J Nerv Ment Dis 1988;176:686-7.
17. Okun MS, Rodriguez RL, Foote KD, et al. The "chair test" to aid in the diagnosis of psychogenic gait disorders. Neurologist 2007;13:87-91. (Pubitemid 46398987)
18. Yugué I, Shiba K, Ueta T, et al. A new clinical evaluation for hysterical paralysis. Spine (Phila Pa 1976) 2004;29:1910-13;discussion 1913. (Pubitemid 39181051)
19. Ziv I, Djaldetti R, Zoldan Y, et al. Diagnosis of "non-organic" limb paresis by a novel objective motor assessment: the quantitative Hoover's test. J Neurol 1998;245:797-802. (Pubitemid 28505275)
20. van der Ploeg RJ, Oosterhuis HJ. The "make/break test" as a diagnostic tool in functional weakness. J Neurol Neurosurg Psychiatry 1991;54:248-51.
21. Stone J, Warlow C, Sharpe M. The symptom of functional weakness: a controlled study of 107 patients. Brain 2010;133(Pt 5):1537-51.
22. Chabrol H, Peresson G, Clanet M. Lack of specificity of the traditional criteria for conversion disorders. Eur Psychiatry 1995;10:317-19.
23. Baker JH, Silver JR. Hysterical paraplegia. J Neurol Neurosurg Psychiatry 1987;50:375-82. (Pubitemid 17036915)
24. Knutsson E, Martensson A. Isokinetic measurements of muscle strength in hysterical paresis. Electroencephalography and Clinical Neurophysiology 1985;61:370-4. (Pubitemid 16244245)
25. Koehler P. Freud's Comparative Study of Hysterical and Organic Paralyses. Archives of Neurology 2003;60:1646-50.
26. Stone J, Zeman A, Sharpe M. Functional weakness and sensory disturbance. J Neurol Neurosurg Psychiatry 2002;73:241-5.
27. Magee KR. Hysterical hemiplegia and hemianesthesia. Postgrad Med 1962;31:339-45.
28. Toth C. Hemisensory syndrome is associated with a low diagnostic yield and a nearly uniform benign prognosis. J Neurol Neurosurg Psychiatry 2003;74:1113-16.
29. Critchley M. Psychiatric symptoms and parietal disease: differential diagnosis. Proc R Soc Med 1964;57:422-8.
30. Todd RB. Clinical lectures on paralysis, certain diseases of the brain, and other affections of the nervous system. 2nd edn. vol. Lecture I, Churchill J. London: Churchill, 1856:20.
31. Blocq PO. Sur une affection caractérisée par de l'astasie et d'abasie. Vol 43. Paris: Progrès Médical, 1888.
32. Carson AJ, Stone J, Warlow C, et al. Patients whom neurologists find difficult to help. J Neurol Neurosurg Psychiatry 2004;75:1776-8. (Pubitemid 39611487)
33. Slater ET, Glithero E. A follow-up of patients diagnosed as suffering from "hysteria". J Psychsom Res 1965;9:9-13.
34. Stone J, Carson A, Duncan R, et al. Symptoms 'unexplained by organic disease' in 1144 new neurology out-patients: how often does the diagnosis change at follow-up? Brain 2009;132(Pt 10):2878-88.
35. Koehler PJ, Okun MS. Important observations prior to the description of the Hoover sign. Neurology 2004;63:1693-7. (Pubitemid 39507590)
36. Babinski J. De la pronation de la main dans l'hémiplégie organique. Rev Neurol (Paris) 1907;15:755.
37. Teitelbaum JS, Eliasziw M, Garner M. Tests of motor function in patients suspected of having mild unilateral cerebral lesions. Can J Neurol Sci 2002;29:337-44. (Pubitemid 35440086)
38. Anderson NE, Mason DF, Fink JN, et al. Detection of focal cerebral hemisphere lesions using the neurological examination. J Neurol Neurosurg Psychiatry 2005;76:545-9. (Pubitemid 40486581)
39. Hawkes CH. Diagnosis of functional neurological disease. Br J Hosp Med (Lond) 1997;57:373-7.
40. Marcus H, Aldam P, Lennox G, et al. Medically unexplained neurological symptoms. JRSM Short Rep 2010;1:25.
41. Greer S, Chambliss L, Mackler L, et al. Clinical inquiries. What physical exam techniques are useful to detect malingering? J Fam Pract 2005;54:719-22.
42. Reeves RR, Bullen JA. Misuse of the face-hand test for psychogenic neurologic deficits. J Clin Psychiatry 1994;55:363. (Pubitemid 24286491)
43. Barré J. La manoeuvre de la jambe; Nouveau signe objectif des paralysies ou parésis dues aux perturbations du faisceau pyramidal. La Presse Médicale 1919;79:793-5.
44. Babinski J. Diagnostic différentiel de l'hémiplégie organique et de l'hémiplégie hystérique. Gazette des Hôitaux de Paris 1900;73:533-7.
45. Keane JR. Wrong-way deviation of the tongue with hysterical hemiparesis. Neurology 1986;36:1406-7. (Pubitemid 16025276)
46. Sethi NK, Sethi PK, Torgovnick J. Supine catch sign-a simple clinical test to differentiate between true and false ( pseudo) radial nerve palsy. Clin Neurol Neurosurg 2010;112:441-2.
47. Diukova GM. (Weakness of the sternocleidomastoid muscle: a diagnostic test in hysterical paralysis). Zh Nevrol Psikhiatr Im S S Korsak 1999;99:56-9.
48. Diukova G. Sternocleidomastoid (SCM) muscle test in patients with hysterical and organic paresis. J Neurol Sci 2001;187(Suppl 1)(PO312):S109.
49. Hayes MW, Graham S, Heldorf P, et al. A video review of the diagnosis of psychogenic gait: appendix and commentary. Mov Disord 1999;14:914-21.
50. Bowlus WE, Currier RD. A test for hysterical hemianalgesia. N Engl J Med 1963;269:1253-4.
51. Keane JR. Hysterical gait disorders: 60 cases. Neurology 1989;39:586-9. (Pubitemid 19105781)
52. Knapp PC. Astasia-Abasia. The Journal of Nervous and Mental Diseases 1891; XVII:673-701.
53. Ehrbar R, Waespe W. (Functional gait disorders). Schweiz Med Wochenschr 1992;122:833-41.
54. Lempert T, Brandt T, Dieterich M, et al. How to identify psychogenic disorders of stance and gait. A video study in 37 patients. J Neurol 1991;238:140-6.
55. Diukova GM, Stoliarova AV. (Psychogenic disorders of stance and gait as seen in videotaping). Zh Nevrol Psikhiatr Im S S Korsak 2001;101:13-18. (Pubitemid 33643099)
56. Baik JS, Lang AE. Gait abnormalities in psychogenic movement disorders. Mov Disord 2007;22:395-9. (Pubitemid 46569698)
57. Hansen M, Christensen PB, Sindrup SH, et al. Inter-observer variation in the evaluation of neurological signs: patient-related factors. J Neurol 1994;241:492-6. (Pubitemid 24216057)
58. Van Gijn J, Bonke B. Interpretation of plantar reflexes: biasing effect of other signs and symptoms. J Neurol Neurosurg Psychiatry 1977;40:787-9. (Pubitemid 8203123)
59. Hansen M, Sindrup SH, Christensen PB, et al. Interobserver variation in the evaluation of neurological signs: observer dependent factors. Acta Neurol Scand 1994;90:145-9. (Pubitemid 24305914)
60. Schwabe M, Howell SJ, Reuber M. Differential diagnosis of seizure disorders: a conversation analytic approach. Soc Sci Med 2007;65:712-24. (Pubitemid 47077555)