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Hoover's sign is a sign of functional weakness: or is it more? 胡佛的迹象是一种功能缺陷的迹象，或者更严重？
IF 2.4
PRACTICAL NEUROLOGY Pub Date : 2025-05-15 DOI: 10.1136/pn-2024-004385
Jan Coebergh
{"title":"Hoover's sign is a sign of functional weakness: or is it more?","authors":"Jan Coebergh","doi":"10.1136/pn-2024-004385","DOIUrl":"10.1136/pn-2024-004385","url":null,"abstract":"<p><p>Hoover's sign has long been used to support a clinical diagnosis of functional weakness. However, it also occurs in people with pain, other functional disorders and functional neurological disorder without weakness. Some of its clinical characteristics, such as being more prominent with visual attention, suggest it might be reframed as a sign of agency. The experience, reflections and awareness of people with an abnormal Hoover's sign can be seen in this context. Reframing Hoover's sign by linking it to agency, and extending it to other clinical scenarios, could help clinicians and, most importantly, patients.A recently discovered clinical technique of inducing it briefly in healthy people with pressure on the patella or tonic vibration is discussed. This illustrates the importance of sensory processing (especially sensory attenuation and proprioception) and learning/habituation to stimuli, which is known to be altered in functional neurological disorder and other functional disorders.Reframing Hoover's sign by linking it to agency and extending it to other clinical scenarios could help clinicians, neuroscience and, most importantly, patients.</p>","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":" ","pages":"260-261"},"PeriodicalIF":2.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neurological Sweet's syndrome: a rare but treatable manifestation of an autoinflammatory disease. 神经系统斯威特综合征：一种罕见但可治疗的自体炎症性疾病。
IF 2.4
PRACTICAL NEUROLOGY Pub Date : 2025-05-15 DOI: 10.1136/pn-2024-004379
Gareth Zigui Lim, Jiekai Tan, Joyce Siong-See Lee, Xin Rong Lim, Tianrong Yeo
{"title":"Neurological Sweet's syndrome: a rare but treatable manifestation of an autoinflammatory disease.","authors":"Gareth Zigui Lim, Jiekai Tan, Joyce Siong-See Lee, Xin Rong Lim, Tianrong Yeo","doi":"10.1136/pn-2024-004379","DOIUrl":"10.1136/pn-2024-004379","url":null,"abstract":"<p><p>Sweet's syndrome is an autoinflammatory disease characterised by systemic symptoms and a cutaneous neutrophilic dermatosis. Neurological involvement is rare but important to recognise. Patients may have headache, confusion, seizures, and focal neurological deficits; MR brain scanning may show widespread T2-hyperintense lesions, with a CSF pleocytosis. Clinicians should suspect neurological Sweet's syndrome in patients with central nervous system dysfunction, who have unexplained fever or systemic inflammation, and a pustular neutrophilic dermatosis. The condition responds well to corticosteroids, which can prevent long-term neurological sequalae.</p>","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":" ","pages":"253-256"},"PeriodicalIF":2.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neuropsychiatric decline and status epilepticus in pregnancy. 妊娠期神经精神衰退和癫痫状态。
IF 2.4
PRACTICAL NEUROLOGY Pub Date : 2025-05-15 DOI: 10.1136/pn-2024-004283
Ameeta Karmarkar, Jeffrey Gelfand, Nichole Tackett, Emily Black, Rowena Desailly-Chanson, Ryan Lapointe
{"title":"Neuropsychiatric decline and status epilepticus in pregnancy.","authors":"Ameeta Karmarkar, Jeffrey Gelfand, Nichole Tackett, Emily Black, Rowena Desailly-Chanson, Ryan Lapointe","doi":"10.1136/pn-2024-004283","DOIUrl":"10.1136/pn-2024-004283","url":null,"abstract":"","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":" ","pages":"286-291"},"PeriodicalIF":2.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ABN news. 荷兰银行的消息。
IF 2.4
PRACTICAL NEUROLOGY Pub Date : 2025-05-15 DOI: 10.1136/pn-2025-004631
Biba Stanton, Maya McCourt
{"title":"ABN news.","authors":"Biba Stanton, Maya McCourt","doi":"10.1136/pn-2025-004631","DOIUrl":"https://doi.org/10.1136/pn-2025-004631","url":null,"abstract":"","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":"25 3","pages":"295-296"},"PeriodicalIF":2.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prolonged disorder of consciousness: giving a second opinion on the best interests of a person. 长时间意识障碍：就个人的最佳利益提出第二意见。
IF 2.4
PRACTICAL NEUROLOGY Pub Date : 2025-05-15 DOI: 10.1136/pn-2024-004273
Derick T Wade
{"title":"Prolonged disorder of consciousness: giving a second opinion on the best interests of a person.","authors":"Derick T Wade","doi":"10.1136/pn-2024-004273","DOIUrl":"10.1136/pn-2024-004273","url":null,"abstract":"<p><p>Patients with a prolonged disorder of consciousness have a neurological disorder. Few neurologists undertake assessment and management after the acute phase of the person's illness, even though some of their patients with progressive neurological disorders become persistently unconscious. Their clinical evaluation and deciding on their best interests require full use of a neurologist's expertise, which is intellectually, emotionally and clinically challenging. I will cover essential aspects of giving such an expert second opinion based on at least 200 cases where I have done so (and over 500 patients seen clinically).</p>","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":" ","pages":"241-245"},"PeriodicalIF":2.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Modern nutritional neuropathies. 现代营养性神经病。
IF 2.4
PRACTICAL NEUROLOGY Pub Date : 2025-05-15 DOI: 10.1136/pn-2024-004288
Alexander Rossor
{"title":"Modern nutritional neuropathies.","authors":"Alexander Rossor","doi":"10.1136/pn-2024-004288","DOIUrl":"10.1136/pn-2024-004288","url":null,"abstract":"","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":" ","pages":"202-203"},"PeriodicalIF":2.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Extensive spinal epidural CSF collection following lumbar puncture. 腰椎穿刺后广泛收集脊髓硬膜外脑脊液。
IF 2.4
PRACTICAL NEUROLOGY Pub Date : 2025-05-15 DOI: 10.1136/pn-2024-004413
Arun Rajaratnam, Nimasha Ekanayaka, Chandana Peiris, Bimsara Senanayake
{"title":"Extensive spinal epidural CSF collection following lumbar puncture.","authors":"Arun Rajaratnam, Nimasha Ekanayaka, Chandana Peiris, Bimsara Senanayake","doi":"10.1136/pn-2024-004413","DOIUrl":"10.1136/pn-2024-004413","url":null,"abstract":"","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":" ","pages":"275-277"},"PeriodicalIF":2.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diagnostic signs in FND: handle with care. FND的诊断标志：小心处理。
IF 2.4
PRACTICAL NEUROLOGY Pub Date : 2025-05-15 DOI: 10.1136/pn-2025-004513
Jon Stone
{"title":"Diagnostic signs in FND: handle with care.","authors":"Jon Stone","doi":"10.1136/pn-2025-004513","DOIUrl":"10.1136/pn-2025-004513","url":null,"abstract":"","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":" ","pages":"200-201"},"PeriodicalIF":2.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143410980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mediterranean spotted fever presenting with rash and meningism. 地中海斑疹热，表现为皮疹和脑膜炎。
IF 2.4
PRACTICAL NEUROLOGY Pub Date : 2025-05-15 DOI: 10.1136/pn-2024-004438
José Manuel Alcalá Ramírez Del Puerto, Maddalena Elena Urbano, Pablo Abizanda Saro, Adela María Maruri Pérez, Vicente Gajate García
{"title":"Mediterranean spotted fever presenting with rash and meningism.","authors":"José Manuel Alcalá Ramírez Del Puerto, Maddalena Elena Urbano, Pablo Abizanda Saro, Adela María Maruri Pérez, Vicente Gajate García","doi":"10.1136/pn-2024-004438","DOIUrl":"10.1136/pn-2024-004438","url":null,"abstract":"","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":" ","pages":"284-285"},"PeriodicalIF":2.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A bedside sensory phenomenon that can help explain functional sensory symptoms. 一种有助于解释功能性感觉症状的床边感觉现象。
IF 2.4
PRACTICAL NEUROLOGY Pub Date : 2025-05-15 DOI: 10.1136/pn-2024-004456
Stoyan Popkirov
{"title":"A bedside sensory phenomenon that can help explain functional sensory symptoms.","authors":"Stoyan Popkirov","doi":"10.1136/pn-2024-004456","DOIUrl":"10.1136/pn-2024-004456","url":null,"abstract":"<p><p>Explaining basic illness mechanisms is an important step in communicating functional neurological symptoms. Clinical signs for motor symptoms, such as the Hoover test, have proven an excellent basis for mechanistic explanations. Here, I recommend a simple technique for eliciting tingling sensations through directed bodily attention, as a helpful experiential starting point for explanations of sensory gating and somatosensory amplification in patients with functional hyperaesthesia, paraesthesia and chronic pain.</p>","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":" ","pages":"262-263"},"PeriodicalIF":2.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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