The neuroimaging evidence of brain abnormalities in functional movement disorders, 2021, Sasikumar and Strafella

ToneAl · Jul 9, 2023

Maybe the neuropsyvhs are on the gravy train withbthe neurologists and dont wantbto admit it.
Evryone has had some form of traumatic event at one atage of their lives so every9ne can have fnd

Gradzy · Aug 20, 2023

‘This framework challenges our traditional understanding..’

I’m sorry but I started laughing out loud instantly upon reading this.

Gradzy · Aug 20, 2023

Hutan said: ↑

As I mentioned elsewhere, papers like this are an interesting reflection of psychosomatic medicine proponents scrambling to reposition themselves as the evidence comes in for physical, medically treatable causes of various health conditions that have carried the 'functional' label.

Here, the inference is that being labelled with a disorder that has a psychogenic cause is not a positive outcome for the patient. We see the terms 'psychogenic', 'somatisation' and 'conversion disorder' being replaced by 'functional disorder' not only because the patients like it, but because the house of cards doesn't fall down when the patients don't have a history of trauma, or obvious psychological issues. Or when pathologies, physical evidence of the disease, are identified. The term used can stay the same; the promoters of magic medicine can subtly shift and retain their 'expert' status.

This is talking about misdiagnosis, where two out of five people with 'clinically established functional parkinsonism' were found to have an 'underlying neurodegenerative etiology instead', a disease cause that can be treated.

More mis-diagnosis.

and more

more

more

and more

Here the patient had a tremor that varied with distraction - a key test for functional movement disorders according to Jon Stone (ref #5)

Surgery on identified structural spinal atrophy improved the tremor.

But, despite all this evidence that new technology and clinician diligence can keep discovering non-psychogenic causes, there is still belief in the concept of movement symptoms that arise out of nothing. Read this next paragraph, for example:

The paper tells us that functional movement disorders can coexist with actual pathology; and that a lack of identified pathology confirms a functional diagnosis. As we've mentioned elsewhere when reviewing papers that report finding actual pathology in patients as their diseases became more florid, there is a resolute clinging on to the functional diagnosis. A brain turning to mush over a matter of months is, the functional disease experts tell us, not a reason for a patient to not also have a functional disorder.
Click to expand...

Everything here is utterly infuriating. How - really genuinely how - can a medical field be allowed to work in this fashion?

Sean · Aug 21, 2023

Because medicine is a protected species, who rarely get called to proper account for their, um, mistakes.

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The neuroimaging evidence of brain abnormalities in functional movement disorders, 2021, Sasikumar and Strafella

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