title: [Functional weakness of movement].
abstract: The diagnosis of functional paresis is evoked when a patient presents with symptoms and signs incompatible with current anatomical and physiological knowledge. A broad assessment, including imaging and motor evoked potentials at rest, remains necessary; the rate of false diagnosis being estimated at 4%. The mechanisms of hysteria remain still dubious but various studies suggest that functional paresis is different from simulation by conscious, voluntary inhibition. The long-term prognosis is bad. The treatment includes cognitive-behavioral therapy and rehabilitation to develop a positive attitude.
authors.affiliation: Service de neurorééducation, Départment des neurosciences cliniques, HUG, 1211 Genève 14. beatrice.leemann@hcuge.ch
authors.forename: B
authors.initials: B
authors.lastname: Leemann
authors.forename: C
authors.initials: C
authors.lastname: Hazeghi
authors.forename: S
authors.initials: S
authors.lastname: Kramis
authors.forename: A
authors.initials: A
authors.lastname: Schnider
mesh_terms: D000293:Adolescent; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007046:Hysteria / Q000175:diagnosis; D010291:Paresis / Q000175:diagnosis / Q000503:physiopathology* / Q000523:psychology* / Q000628:therapy; D011379:Prognosis; D011613:Psychotherapy; D016896:Treatment Outcome