Positive clinical signs in neurological diseases – An observational study

Publication date: Available online 19 November 2018Source: Journal of Clinical NeuroscienceAuthor(s): Orwa Aboud, Ayman Al-Salaimeh, Sunil Kumar Raina, Kinshuk Sahaya, Archana HindujaAbstractMany patients with organic neurological disease have symptoms and signs that are unexplained by their disease condition. We attempted to explore the prevalence of positive clinical signs in patients with various organic neurological diseases.We performed a prospective uncontrolled observational study on the presence of 7 positive signs in adults with various organic neurological diseases that were admitted to our tertiary care hospital. This observation was performed during their neurological examination in those who provided consent, could comprehend and lacked terminal illness or profound weakness that limited their ability to perform these tasks. We dichotomized them into two groups based on the presence of these signs.Out of 190 patients that were evaluated between 2014 and 2015, 37 patients had at least one positive sign. On univariate analysis: young age, female gender, prior anxiety, history of childhood abuse, identification of sensory deficits on examination and lack of imaging correlation with clinical localization were identified as risk factors for these positive signs. On multivariate analysis, anxiety (OR 2.88, 95% CI 1.11–7.49, p = 0.03) and presence of sensory deficits on examination (OR 5.81, 95% CI 2.36–14.32, p ≤ 0.001) were associated with these positive ...
Source: Journal of Clinical Neuroscience - Category: Neuroscience Source Type: research