Functional disorders in the Neurology section of ICD-11: A landmark opportunity

Jon Stone¹, Mark Hallett², Alan Carson², Donna Bergen², Raad Shakir²

Affiliations

¹ From the Departments of Clinical Neurosciences (J.S.) and Psychiatry (A.C.), University of Edinburgh, Western General Hospital, Edinburgh, UK; the Human Motor Control Section, Medical Neurology Branch (M.H.), National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD; the Department of Neurological Sciences (D.B.), Rush University Medical Center, Chicago, IL; and Imperial College Healthcare (R.S.), Charing Cross Hospital, London, UK. Jon.Stone@ed.ac.uk.
² From the Departments of Clinical Neurosciences (J.S.) and Psychiatry (A.C.), University of Edinburgh, Western General Hospital, Edinburgh, UK; the Human Motor Control Section, Medical Neurology Branch (M.H.), National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD; the Department of Neurological Sciences (D.B.), Rush University Medical Center, Chicago, IL; and Imperial College Healthcare (R.S.), Charing Cross Hospital, London, UK.

PMID: 25488992
PMCID: PMC4277679
DOI: 10.1212/WNL.0000000000001063

Functional disorders in the Neurology section of ICD-11: A landmark opportunity

Jon Stone et al. Neurology. 2014.

. 2014 Dec 9;83(24):2299-301.

doi: 10.1212/WNL.0000000000001063.

Authors

Jon Stone¹, Mark Hallett², Alan Carson², Donna Bergen², Raad Shakir²

Affiliations

¹ From the Departments of Clinical Neurosciences (J.S.) and Psychiatry (A.C.), University of Edinburgh, Western General Hospital, Edinburgh, UK; the Human Motor Control Section, Medical Neurology Branch (M.H.), National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD; the Department of Neurological Sciences (D.B.), Rush University Medical Center, Chicago, IL; and Imperial College Healthcare (R.S.), Charing Cross Hospital, London, UK. Jon.Stone@ed.ac.uk.
² From the Departments of Clinical Neurosciences (J.S.) and Psychiatry (A.C.), University of Edinburgh, Western General Hospital, Edinburgh, UK; the Human Motor Control Section, Medical Neurology Branch (M.H.), National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD; the Department of Neurological Sciences (D.B.), Rush University Medical Center, Chicago, IL; and Imperial College Healthcare (R.S.), Charing Cross Hospital, London, UK.

PMID: 25488992
PMCID: PMC4277679
DOI: 10.1212/WNL.0000000000001063

Abstract

Functional disorders are one of the most common diagnoses in neurologic practice, but this is not reflected in current classification systems. The 11th revision of the World Health Organization's International Classification of Diseases (ICD-11) in 2017 offers an opportunity for these disorders to appear within both neurologic and psychiatric categories for the first time. We discuss the rationale for this proposal and highlight the potential benefits for health professionals and patients.

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References

1. Shakir R, Bergen D. International Classification of Diseases (ICD-11) and neurologic disorders: the future. Neurology 2013;81:182–183. - PubMed
1. Carson A, Stone J, Hibberd C, et al. Disability, distress and unemployment in neurology outpatients with symptoms “unexplained by organic disease.” J Neurol Neurosurg Psychiatry 2011;82:810–813. - PubMed
1. Stone J, Smyth R, Carson A, et al. Systematic review of misdiagnosis of conversion symptoms and “hysteria.” BMJ 2005;331:989. - PMC - PubMed
1. Hallett M, Lang AE, Jankovic J, et al. Psychogenic Movement Disorders and Other Conversion Disorders. Cambridge: Cambridge University Press; 2011.
1. Drossman DA. The functional gastrointestinal disorders and the Rome III process. Gastroenterology 2006;130:1377–1390. - PubMed

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Functional disorders in the Neurology section of ICD-11: A landmark opportunity

Affiliations

Functional disorders in the Neurology section of ICD-11: A landmark opportunity

Authors

Affiliations

Abstract

References

MeSH terms

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical