{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:49:28Z","timestamp":1787014168608,"version":"build-2736575974"},"reference-count":23,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T00:00:00Z","timestamp":1756857600000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002347","name":"Bundesministerium f\u00fcr Bildung und Forschung","doi-asserted-by":"publisher","award":["01EO2104"],"award-info":[{"award-number":["01EO2104"]}],"id":[{"id":"10.13039\/501100002347","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro J of Neurology"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The high prevalence of functional neurological disorders (FND) in specialized neurological services such as epilepsy centers or dizziness clinics is well established. Few studies exist that investigate the frequency of FND among neurology in\u2010patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In\u2010hospital patients with functional neurological symptoms as part of the presenting complaint were identified by combining prospective and retrospective case ascertainment over a period of 2\u2009years. Demographic and clinical features as well as reimbursements were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Across a total of 4648 in\u2010hospital patients, 267 (5.7%) had functional neurological symptoms as a presenting complaint, and 217 (4.7%) were given a standalone FND diagnosis. All age groups and subtypes of FND were represented. FND comprised 2.4% of all cases admitted to the stroke unit for suspected stroke; 11.8% of all cases undergoing specialized epileptological workup; and 7.6% of cases admitted through the emergency department with a seizure disorder. Diagnostic coding of FND was inconsistent and associated with significantly lower per\u2010day revenue when performed accurately.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>FND is the third most common diagnosis among in\u2010hospital neurological patients, which stands in stark contrast to its underrepresentation in clinical training, service provision, and research funding. Stroke\u2010like presentations and seizures are common forms of FND among emergency admissions. Reimbursement mechanisms of the diagnosis\u2010related groups system might disincentivize accurate diagnostic coding and contribute to a cycle of neglect within health care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ene.70338","type":"journal-article","created":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T15:31:03Z","timestamp":1756913463000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Functional Neurological Disorder Among Neurology In\u2010Patients"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4846-8337","authenticated-orcid":false,"given":"Johannes","family":"Jungilligens","sequence":"first","affiliation":[{"name":"Department of Neurology Knappschaft Kliniken University Hospital Bochum, Ruhr University Bochum  Bochum Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4360-0852","authenticated-orcid":false,"given":"Emma","family":"Marcinkowski","sequence":"additional","affiliation":[{"name":"Department of Neurology Knappschaft Kliniken University Hospital Bochum, Ruhr University Bochum  Bochum Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3319-2339","authenticated-orcid":false,"given":"Tim","family":"Wehner","sequence":"additional","affiliation":[{"name":"Ruhr Epileptology, Department of Neurology Knappschaft Kliniken University Hospital Bochum, Ruhr University Bochum  Bochum Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabine","family":"Skodda","sequence":"additional","affiliation":[{"name":"Department of Neurology Knappschaft Kliniken University Hospital Bochum, Ruhr University Bochum  Bochum Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6168-0036","authenticated-orcid":false,"given":"Stoyan","family":"Popkirov","sequence":"additional","affiliation":[{"name":"Department of Neurology Knappschaft Kliniken University Hospital Bochum, Ruhr University Bochum  Bochum Germany"},{"name":"Department of Neurology and Center for Translational Neuro\u2010 and Behavioral Sciences (C\u2010TNBS) University Hospital Essen, University Duisburg\u2010Essen  Essen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(21)00422-1"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2018.1264"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp-2024-334767"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2010.05.011"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2015.11.020"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0404.1990.tb03312.x"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ene.16191"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ene.16350"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000213632"},{"key":"e_1_2_9_11_1","article-title":"When Neurologists Diagnose Functional Neurological Disorder, Why Don't They Code for It?","volume":"5","author":"Herbert L. 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