Functional Neurologic Symptom Disorders Victor I. Reus Chapter 52 Functional Neurologic Symptom Disorders Victor I. Reus Copyright © 2014 Elsevier Inc. All rights reserved.

Copyright © 2014 Elsevier Inc. All rights reserved. Figure 52-1 A case of psychogenic nonepileptic seizure at the Salpêtrière. The patient is exhibiting what Charcot termed the stage of “clownism.” (From Desire-Magloire Bourneville D-M, Regnard P: Icononographie Photographique de la Salpêtrière, Paris, 1877-80.) Copyright © 2014 Elsevier Inc. All rights reserved.

Copyright © 2014 Elsevier Inc. All rights reserved. Figure 52-2 Ten-second page of digital EEG recorded during video-EEG telemetry in a 55-year-old woman with psychogenic nonepileptic seizures characterized by asynchronous limb shaking and unresponsiveness. (Courtesy of Tina Shih, MD, University of California, San Francisco.) Copyright © 2014 Elsevier Inc. All rights reserved.

Copyright © 2014 Elsevier Inc. All rights reserved. Figure 52-3 Charcot’s drawing of a “hysterical” contracture. The contracture would be maintained during sleep, but relax or disappear under chloroform anesthesia. (Charcot J-M: Clinical Lectures on the Diseases of the Nervous System (III). New Sydenham Society, London, 1889.) Copyright © 2014 Elsevier Inc. All rights reserved.

Copyright © 2014 Elsevier Inc. All rights reserved. Figure 52-4 Charcot’s method of demonstrating the difference between a consciously willed and an involuntary “hysterical” contracture. In a case of hysteria, the thumb, under traction, would rise, but return to its original position without fatigue upon release of the weight. (Charcot J-M: Clinical Lectures on the Diseases of the Nervous System (III). New Sydenham Society, London, 1889.) Copyright © 2014 Elsevier Inc. All rights reserved.

Copyright © 2014 Elsevier Inc. All rights reserved. Figure 52-5 Charcot’s demonstration of “hysterical” anesthesia, including “glove-and-sleeve” anesthesia occurring in geometric segments. The shading has been improved from the original for clarity. (Charcot J-M: Clinical Lectures on the Diseases of the Nervous System (III). New Sydenham Society, London, 1889.) Copyright © 2014 Elsevier Inc. All rights reserved.