nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2024-4-90-97nnp-2338Research ArticleREVIEWSОБЗОРЫMalingering and functional movement disorderСимуляция и функциональное двигательное расстройствоhttps://orcid.org/0000-0001-6217-4151ЕвдокимовК. М.EvdokimovK. M.

Константин Михайлович Евдокимов

125367; Волоколамское шоссе, 80; Москва

Konstantin Mikhailovich Evdokimov

125367; 80, Volokolamskoe Shosse; Moscow

k.m.evdokimov@gmail.comhttps://orcid.org/0000-0001-8070-7644ФедотоваЕ. Ю.FedotovaE. Yu.

125367; Волоколамское шоссе, 80; Москва

125367; 80, Volokolamskoe Shosse; Moscow

https://orcid.org/0000-0002-2704-6282ИллариошкинС. Н.IllarioshkinS. N.

125367; Волоколамское шоссе, 80; Москва

125367; 80, Volokolamskoe Shosse; Moscow

ФГБНУ «Научный центр неврологии»РоссияResearch Center of NeurologyRussian Federation2024220820241649097Copyright © Evdokimov K.M., Fedotova E.Y., Illarioshkin S.N., 20242024Евдокимов К.М., Федотова Е.Ю., Иллариошкин С.Н.Evdokimov K.M., Fedotova E.Y., Illarioshkin S.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/2338

   Functional movement disorders (FMD) are frequently encountered in the clinical practice of neurologists. Recently, the interest of specialists in FMD has increased. Based on neuroimaging, neurophysiological and neuropsychological studies, concepts of the pathophysiology of FMD have been proposed. A difficult issue is differentiation of FMD from factitious disorder and malingering. Diagnostic criteria for FMD, factitious disorder, and malingering are currently proposed, including in ICD-11, but they still contain many controversial provisions, the most important of which are discussed in this article.

   Функциональные двигательные расстройства (ФДР) часто встречаются в клинической практике невролога, и интерес специалистов к данной проблеме в последнее время заметно увеличивается. На основе нейровизуализационных, нейрофизиологических и нейропсихологических исследований были предложены различные концепции патофизиологии ФДР. Одним из сложных вопросов является выделение ФДР в отдельную группу, отличную от фиктивного расстройства и симуляции. В настоящее время предлагаются отдельные критерии ФДР, фиктивного расстройства и симуляции, в том числе в Международной классификации болезней 11-го пересмотра (МКБ-11); однако в них остается много спорных положений, ключевые из которых рассматриваются в настоящей статье.

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The authors declare that there are no conflicts of interest present.