What is it about?

Positive signs are clinical signs considered the hallmark of functional neurological disorders. Among patients with headache but without a known functional neurological disorder, positive signs are frequently encountered, mostly unnoticed by the patient. Headache patients with positive signs report more severe headache condition than headache patients without positive signs.

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Why is it important?

Our findings point positive signs as part of the clinical spectrum of headache. They also identified a clinical marker of headache severity, supporting clinicians to adopt a more intensive therapy for headache patients with these signs.

Perspectives

The presence and significance of positive signs -the hallmark of functional neurological disorders- among patients without functional neurological disorders opens new insights in the pathophysiology beyond the actual definition of functional neurological disorders.

Eric Morel
Centre Hospitalier Universitaire Vaudois

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This page is a summary of: Correlation of Positive Signs of Functional Neurological Disorder With Headache Severity: A Prospective Cross-Sectional Study, Journal of Neuropsychiatry, June 2025, American Psychiatric Association,
DOI: 10.1176/appi.neuropsych.20250004.
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