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Related Experiment Videos

Hysterical gait disorders: 60 cases.

J R Keane1

  • 1Department of Neurology, LAC/USC Medical Center.

Neurology
|April 1, 1989
PubMed
Summary
This summary is machine-generated.

Simulated gait abnormalities, often functional, mimic neurological conditions but are typically identified by experienced clinicians. Demonstrating normal neurological function and observing a dramatic cure are key diagnostic indicators.

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Area of Science:

  • Neurology
  • Psychiatry

Background:

  • Simulated gait abnormalities can present as leg weakness, ataxia, or trembling.
  • These patterns often differ from true neurological disabilities and are usually suspected as functional by clinicians.

Purpose of the Study:

  • To discuss the diagnostic challenges and considerations for simulated gait abnormalities.
  • To highlight the importance of demonstrating normal underlying neurological function.

Main Methods:

  • Clinical observation and assessment of gait patterns.
  • Review of diagnostic criteria for functional neurological disorders.
  • Consideration of imaging techniques like CT and MRI as diagnostic aids.

Main Results:

  • Simulated gaits rarely replicate true neurological deficits and are often flagged as functional.

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  • Dystonia and chorea are movement disorders most prone to misdiagnosis as functional conditions.
  • A rapid, complete recovery can serve as strong evidence for a functional etiology.

    • Conclusions:

    • Experienced clinicians can often identify simulated gait abnormalities.
    • Confirming intact neurological function is crucial for diagnosis.
    • While imaging offers a safety net, the presentation and management of functional gaits show historical consistency.