Evidence map›Paper›PMID 31684891›Full record

ArticleBMC neurology2019

Modification of both functional neurological symptoms and neuroimaging patterns with a good anatomoclinical concordance: a case report.

Silvio Galli, Selma Aybek, Sylvie Chokron, Thierry Moulin, Eloi Magnin

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Silvio GalliDepartment of Neurology, University Hospital of Besançon, 3 bd alexandre fleming, 25030, Besançon, France. sgalli@chu-besancon.fr.
Selma AybekNeurology University Clinic, Inselspital, 3010, Bern, Switzerland.
Sylvie ChokronLaboratory of Psychology of Perception, UMR 8242, CNRS and Paris Descartes University and Vision and Cognition Unity, Fondation Ophtalmologique Rothschild, Paris, France.
Thierry MoulinDepartment of Neurology, University Hospital of Besançon, 3 bd alexandre fleming, 25030, Besançon, France.
Eloi MagninDepartment of Neurology, University Hospital of Besançon, 3 bd alexandre fleming, 25030, Besançon, France.
Centre Hospitalier Universitaire de Besançon · FRCentre National de la Recherche Scientifique · FRUniversity Hospital of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the nineteenth century, Jean Martin Charcot explained functional neurological disorder (formerly called conversion disorder) as a "psychodynamic" lesion. Numerous advances in neuroimaging have permitted identification of the neural underpinnings of this disorder. CASE PRESENTATION: Herein we describe a case of functional neurological disorder (FND) with initial left sensorimotor deficit, in-coordinated limb movements, neglect, clouded consciousness, slurred speech and a semiology of visual impairment. A single photon emission computed tomography (SPECT) showed a right thalamic hypoperfusion, which is rather concordant with the initial semiology. Later, the semiology changed, presenting with a predominantly neurovisual complex presentation. The second SPECT showed no more thalamic abnormalities but an hypoperfusion in the right temporo-occipital junction, right inferior parietal lobe and left superior frontal lobe, which is also rather concordant with the changing semiology.

conclusionsThis case illustrates the evolving neuroimaging patterns of FND but also the concordance between semiology and neuroimaging findings in FND supporting Charcot's theory of "dynamic lesion".

Indexed as

BrainConversion DisorderNeuroimagingTomography, Emission-Computed, Single-PhotonHumansConversion disordersDissociative disordersFunctional neurological disordersSPECT

Identifiers

PMID31684891
PMCPMC6830004
OpenAlexW2988385179

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.