J Stone

Summary

Affiliation: University of Edinburgh
Country: UK

Publications

  1. doi Who is referred to neurology clinics?--the diagnoses made in 3781 new patients
    J Stone
    School of Molecular and Clinical Medicine, University of Edinburgh, United Kingdom
    Clin Neurol Neurosurg 112:747-51. 2010
  2. ncbi Therapeutic sedation for functional (psychogenic) neurological symptoms
    Jon Stone
    Dept Clinical Neurosciences, University of Edinburgh, Western General Hospital, Edinburgh, UK Electronic address
    J Psychosom Res 76:165-8. 2014
  3. doi Functional symptoms in neurology: mimics and chameleons
    Jon Stone
    Department of Clinical Neurosciences, University of Edinburgh, Western General Hospital, Edinburgh, UK
    Pract Neurol 13:104-13. 2013
  4. doi 'A Leg to Stand On' by Oliver Sacks: a unique autobiographical account of functional paralysis
    Jon Stone
    Department Clinical Neurosciences, Western General Hospital, Edinburgh, UK
    J Neurol Neurosurg Psychiatry 83:864-7. 2012
  5. doi Trick or treat? Showing patients with functional (psychogenic) motor symptoms their physical signs
    Jon Stone
    Department of Clinical Neurosciences, University of Edinburgh, Western General Hospital, Edinburgh, UK
    Neurology 79:282-4. 2012
  6. pmc The 'disappearance' of hysteria: historical mystery or illusion?
    Jon Stone
    Department of Clinical Neurosciences, University of Edinburgh, Western General Hospital, Crewe Rd, Edinburgh EH4 2XU, UK
    J R Soc Med 101:12-8. 2008
  7. ncbi FMRI in patients with motor conversion symptoms and controls with simulated weakness
    Jon Stone
    Division of Clinical Neurosciences, School of Molecular and Clinical Medicine, University of Edinburgh, Western General Hospital, Edinburgh, UK
    Psychosom Med 69:961-9. 2007
  8. ncbi Thyrotoxicosis presenting with headache
    J Stone
    School of Molecular and Clinical Medicine, University of Edinburgh, Western General Hospital, Edinburgh, UK
    Cephalalgia 27:561-2. 2007
  9. ncbi Functional symptoms in neurology: case studies
    Jon Stone
    School of Molecular and Clinical Medicine, University of Edinburgh, Western General Hospital, Crewe Road, Edinburgh EH4 2XU, Scotland
    Neurol Clin 24:385-403. 2006
  10. pmc Systematic review of misdiagnosis of conversion symptoms and "hysteria"
    Jon Stone
    School of Molecular and Clinical Medicine, University of Edinburgh, Edinburgh EH4 2XU
    BMJ 331:989. 2005

Detail Information

Publications55

  1. doi Who is referred to neurology clinics?--the diagnoses made in 3781 new patients
    J Stone
    School of Molecular and Clinical Medicine, University of Edinburgh, United Kingdom
    Clin Neurol Neurosurg 112:747-51. 2010
    ..Previous studies of this topic have been limited by being of only single centres or lacking in detail. We aimed to describe the neurological diagnoses made in a large series of referrals to neurology outpatient clinics...
  2. ncbi Therapeutic sedation for functional (psychogenic) neurological symptoms
    Jon Stone
    Dept Clinical Neurosciences, University of Edinburgh, Western General Hospital, Edinburgh, UK Electronic address
    J Psychosom Res 76:165-8. 2014
    ..Sedation has been discussed as a treatment for functional neurological symptoms for 100years but technique, use of video and outcome has not been systematically described...
  3. doi Functional symptoms in neurology: mimics and chameleons
    Jon Stone
    Department of Clinical Neurosciences, University of Edinburgh, Western General Hospital, Edinburgh, UK
    Pract Neurol 13:104-13. 2013
    ....
  4. doi 'A Leg to Stand On' by Oliver Sacks: a unique autobiographical account of functional paralysis
    Jon Stone
    Department Clinical Neurosciences, Western General Hospital, Edinburgh, UK
    J Neurol Neurosurg Psychiatry 83:864-7. 2012
    ....
  5. doi Trick or treat? Showing patients with functional (psychogenic) motor symptoms their physical signs
    Jon Stone
    Department of Clinical Neurosciences, University of Edinburgh, Western General Hospital, Edinburgh, UK
    Neurology 79:282-4. 2012
    ....
  6. pmc The 'disappearance' of hysteria: historical mystery or illusion?
    Jon Stone
    Department of Clinical Neurosciences, University of Edinburgh, Western General Hospital, Crewe Rd, Edinburgh EH4 2XU, UK
    J R Soc Med 101:12-8. 2008
  7. ncbi FMRI in patients with motor conversion symptoms and controls with simulated weakness
    Jon Stone
    Division of Clinical Neurosciences, School of Molecular and Clinical Medicine, University of Edinburgh, Western General Hospital, Edinburgh, UK
    Psychosom Med 69:961-9. 2007
    ..It is a common clinical problem in neurology but its neural correlates remain poorly understood...
  8. ncbi Thyrotoxicosis presenting with headache
    J Stone
    School of Molecular and Clinical Medicine, University of Edinburgh, Western General Hospital, Edinburgh, UK
    Cephalalgia 27:561-2. 2007
    ..Severe headache can be a striking presenting feature of thyrotoxicosis, but these cases provide reassurance to the clinician that when this does occur, other clinical features of hyperthyroidism are usually present...
  9. ncbi Functional symptoms in neurology: case studies
    Jon Stone
    School of Molecular and Clinical Medicine, University of Edinburgh, Western General Hospital, Crewe Road, Edinburgh EH4 2XU, Scotland
    Neurol Clin 24:385-403. 2006
    ..A multidisciplinary approach involving concurrent physical and psychological treatments is often recommended, although further study is required to determine the best approaches to explain and treat these conditions...
  10. pmc Systematic review of misdiagnosis of conversion symptoms and "hysteria"
    Jon Stone
    School of Molecular and Clinical Medicine, University of Edinburgh, Edinburgh EH4 2XU
    BMJ 331:989. 2005
    ..We aimed to determine how frequently this misdiagnosis occurs, and whether it has become less common since the widespread availability of brain imaging...
  11. pmc Eliot Slater's myth of the non-existence of hysteria
    Jon Stone
    School of Molecular and Clinical Medicine, University of Edinburgh, Western General Hospital, Crewe Road, Edinburgh EH4 2XU, Scotland, UK
    J R Soc Med 98:547-8. 2005
  12. pmc Functional symptoms and signs in neurology: assessment and diagnosis
    J Stone
    Department of Clinical Neurosciences, Western General Hospital, Crewe Road, Edinburgh EH4 2XU, UK
    J Neurol Neurosurg Psychiatry 76:i2-12. 2005
  13. doi The role of physical injury in motor and sensory conversion symptoms: a systematic and narrative review
    Jon Stone
    School of Molecular and Clinical Medicine, University of Edinburgh, Edinburgh, UK
    J Psychosom Res 66:383-90. 2009
    ....
  14. ncbi Symptoms 'unexplained by organic disease' in 1144 new neurology out-patients: how often does the diagnosis change at follow-up?
    Jon Stone
    Division of Clinical Neurosciences, School of Molecular and Clinical Medicine, University of Edinburgh, Western General Hospital, Edinburgh, UK
    Brain 132:2878-88. 2009
    ..A new diagnosis, which with hindsight explained the original symptoms, rarely became apparent to the patient's primary care doctor in the 18 months following the initial hospital consultation...
  15. pmc Functional symptoms in neurology: management
    J Stone
    Department of Clinical Neurosciences, Western General Hospital, Crewe Road, Edinburgh EH4 2XU, UK
    J Neurol Neurosurg Psychiatry 76:i13-21. 2005
  16. doi Functional weakness: clues to mechanism from the nature of onset
    Jon Stone
    Department of Clinical Neurosciences, School of Molecular and Clinical Medicine, University of Edinburgh, Western General Hospital, Edinburgh, UK
    J Neurol Neurosurg Psychiatry 83:67-9. 2012
    ..Studies of aetiology have focused on risk factors such as childhood adversity and life events; information on the nature and circumstance of symptom onset may shed light on the mechanism of symptom formation...
  17. doi Which neurological diseases are most likely to be associated with "symptoms unexplained by organic disease"
    J Stone
    School of Molecular and Clinical Medicine, University of Edinburgh, Edinburgh, Scotland, UK
    J Neurol 259:33-8. 2012
    ....
  18. doi Functional neurological symptoms
    J Stone
    Department of Clinical Neurosciences, Western General Hospital, University of Edinburgh, Edinburgh, UK
    J R Coll Physicians Edinb 41:38-41; quiz 42. 2011
    ..There are many useful steps in management that do not require a detailed understanding of aetiology in an individual patient...
  19. doi Functional neurologic symptoms: assessment and management
    Jon Stone
    Department of Clinical Neurosciences, University of Edinburgh, Western General Hospital, Crewe Road, Edinburgh EH4 2XU, UK
    Neurol Clin 29:1-18, vii. 2011
    ..This article provides practical advice on making an accurate diagnosis, options for explaining the diagnosis to the patient, and considering further treatment...
  20. doi The symptom of functional weakness: a controlled study of 107 patients
    Jon Stone
    Department Clinical Neurosciences, School of Molecular and Clinical Medicine, University of Edinburgh, Western General Hospital, Crewe Rd, Edinburgh EH4 2XU, UK
    Brain 133:1537-51. 2010
    ..We discuss the theoretical and practical implications of these findings for the concept of conversion disorder...
  21. doi Conversion disorder: current problems and potential solutions for DSM-5
    Jon Stone
    Dept Clinical Neurosciences, University of Edinburgh, Western General Hospital, Crewe Rd, Edinburgh EH4 2XU, UK
    J Psychosom Res 71:369-76. 2011
    ..We also discuss whether conversion symptoms are better classified with other somatic symptom disorders or with dissociative disorders and how we might address the potential heterogeneity of conversion symptoms in classification...
  22. doi Disability, distress and unemployment in neurology outpatients with symptoms 'unexplained by organic disease'
    A Carson
    School of Molecular and Clinical Medicine, University of Edinburgh, Edinburgh, UK
    J Neurol Neurosurg Psychiatry 82:810-3. 2011
    ..To determine the disability, distress and employment status of new neurology outpatients with physical symptoms unexplained by organic disease and to compare them with patients with symptoms explained by organic disease...
  23. ncbi Neurology out-patients with symptoms unexplained by disease: illness beliefs and financial benefits predict 1-year outcome
    M Sharpe
    Psychological Medicine Research, School of Molecular and Clinical Medicine, University of Edinburgh, UK
    Psychol Med 40:689-98. 2010
    ..We therefore aimed to determine predictors of poor subjective outcome for new neurology out-patients with symptoms unexplained by disease 1 year after the initial consultation...
  24. ncbi Spinocerebellar ataxia type 8 in Scotland: frequency, neurological, neuropsychological and neuropsychiatric findings
    L Torrens
    The Robert Fergusson Unit, Royal Edinburgh Hospital, Edinburgh, UK
    Acta Neurol Scand 117:41-8. 2008
    ....
  25. pmc Patients whom neurologists find difficult to help
    A J Carson
    Division of Psychiatry, School of Molecular and Clinical Medicine, University of Edinburgh, Royal Edinburgh Hospital, UK
    J Neurol Neurosurg Psychiatry 75:1776-8. 2004
    ..All doctors recognise that some patients are more "difficult to help" than others, but the issue has received little systematic investigation in neurological practice...
  26. pmc Guided self-help for functional (psychogenic) symptoms: a randomized controlled efficacy trial
    M Sharpe
    University of Edinburgh, Edinburgh, Scotland, UK
    Neurology 77:564-72. 2011
    ..We tested the hypothesis that adding CBT-based guided self-help (GSH) to the usual care (UC) received by patients improves outcomes...
  27. pmc The outcome of neurology outpatients with medically unexplained symptoms: a prospective cohort study
    A J Carson
    Robert Fergusson Unit, Royal Edinburgh Hospital, Edinburgh, UK
    J Neurol Neurosurg Psychiatry 74:897-900. 2003
    ..In a previous cross sectional study of 300 consecutive new attenders at neurology outpatient clinics, 90 were detected with symptoms that were rated as "not at all" or only "somewhat" explained by organic disease...
  28. pmc Are functional motor and sensory symptoms really more frequent on the left? A systematic review
    J Stone
    Department of Clinical Neurosciences, University of Edinburgh, Western General Hospital, Crewe Road, UK
    J Neurol Neurosurg Psychiatry 73:578-81. 2002
    ..To test the hypothesis that unilateral motor and sensory symptoms unexplained by identifiable disease are more common on the left side of the body than the right...
  29. pmc The 12 year prognosis of unilateral functional weakness and sensory disturbance
    J Stone
    Division of Clinical Neurosciences, School of Molecular and Clinical Medicine, University of Edinburgh, Edinburgh, UK
    J Neurol Neurosurg Psychiatry 74:591-6. 2003
    ..Although the symptoms of unilateral "medically unexplained" or "functional" weakness and sensory disturbance present commonly to neurologists, little is known about their long term prognosis...
  30. ncbi What do medical outpatients attending a neurology clinic think about antidepressants?
    J Stone
    Division of Clinical Neurosciences, School of Molecular and Clinical Medicine, University of Edinburgh, Western General Hospital, Crewe Road, Edinburgh EH4 2XU, UK
    J Psychosom Res 56:293-5. 2004
    ....
  31. pmc The outcome of depressive disorders in neurology patients: a prospective cohort study
    A J Carson
    Royal Edinburgh Hospital and Western General Hospital, Edinburgh, UK
    J Neurol Neurosurg Psychiatry 74:893-6. 2003
    ..In a previous prospective study of 300 consecutive new attenders at neurology outpatient clinics, depressive disorders were diagnosed in 119 patients (40%) and major depressive disorder in 77 (26%)...
  32. pmc Do medically unexplained symptoms matter? A prospective cohort study of 300 new referrals to neurology outpatient clinics
    A J Carson
    University Department of Psychiatry, Kennedy Tower, Royal Edinburgh Hospital, Edinburgh EH10 5HF, UK
    J Neurol Neurosurg Psychiatry 68:207-10. 2000
    ....
  33. ncbi Divry-Van Bogaert syndrome in a female: relationship to Sneddon's syndrome and radiographic appearances
    J Stone
    Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK
    Neuroradiology 43:562-4. 2001
    ..A lifelong personal and family history of mental handicap in the absence of anticardiolipin antibodies suggests Divry-Van Bogaert syndrome, not previously been reported in a female. Similarities to Sneddon's syndrome are discussed...
  34. pmc Scleroderma "en coup de sabre": pathological evidence of intracerebral inflammation
    J Stone
    Department of Clinical Neurosciences, Western General Hospital, Crewe Rd, Edinburgh EH4 2XU, UK
    J Neurol Neurosurg Psychiatry 70:382-5. 2001
    ..Analysis of CSF and pathology obtained at brain biopsy provides evidence of an inflammatory process which may be amenable to immunosuppressive treatment...
  35. pmc What should we say to patients with symptoms unexplained by disease? The "number needed to offend"
    Jon Stone
    University Department of Clinical Neurosciences, Western General Hospital, Edinburgh EH4 2XU
    BMJ 325:1449-50. 2002
  36. ncbi Illness beliefs and locus of control: a comparison of patients with pseudoseizures and epilepsy
    Jon Stone
    Division of Clinical Neurosciences, School of Molecular and Clinical Medicine, Western General Hospital, Crewe Road, Edinburgh EH4 2XU, UK
    J Psychosom Res 57:541-7. 2004
    ..The aim of this study was to examine the illness beliefs and locus of control of patients with recent onset pseudoseizures and to compare these with patients with recent onset epilepsy...
  37. ncbi Parry-Romberg syndrome: a global survey of 205 patients using the Internet
    Jon Stone
    Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK
    Neurology 61:674-6. 2003
    ..There was a wide range of age at onset and considerable diagnostic overlap with scleroderma "en coup de sabre."..
  38. doi Cauda equina syndrome with normal MR imaging
    Alasdair Rooney
    Edinburgh Centre for Neuro Oncology, Western General Hospital, Edinburgh EH4 2XU, UK
    J Neurol 256:721-5. 2009
    ..While some may have had an alternative organic cause, we propose that these symptoms may have a "functional" origin in many patients...
  39. ncbi What should we call pseudoseizures? The patient's perspective
    Jon Stone
    University Department of Clinical Neurosciences, Western General Hospital, Crewe Road, Edinburgh EH4 2XU, UK
    Seizure 12:568-72. 2003
    ..In this study we examine the meanings of these labels for patients, which have the least potential to offend, and consequently to provide a more positive basis for further management...
  40. ncbi Motor conversion symptoms and pseudoseizures: a comparison of clinical characteristics
    Jon Stone
    Division of Clinical Neurosciences, School of Molecular and Clinical Medicine, Western General Hospital, University of Edinburgh, UK
    Psychosomatics 45:492-9. 2004
    ..An alternative view, that gives primacy to the symptoms rather than a disorder, may enable more precise research questions to be posed...
  41. ncbi "Psychosomatic": a systematic review of its meaning in newspaper articles
    Jon Stone
    Department of Clinical Neurosciences, School of Molecular and Clinical Medicine, Western General Hospital, University of Edinburgh, Scotland
    Psychosomatics 45:287-90. 2004
    ..Psychosomatic medicine" is the new name for the seventh subspecialty of psychiatry. More needs to be done to educate the media about its actual meaning to make it attractive to patients...
  42. ncbi La belle indifférence in conversion symptoms and hysteria: systematic review
    Jon Stone
    Department of Clinical Neurosciences, Western General Hospital, Edinburgh EH4 2XU, UK
    Br J Psychiatry 188:204-9. 2006
    ..La belle indifférence refers to an apparent lack of concern shown by some patients towards their symptoms. It is often regarded as typical of conversion symptoms/hysteria...
  43. pmc What do patients think about appearing in neurology "grand rounds"?
    Rustam Al-Shahi Salman
    Division of Clinical Neurosciences, University of Edinburgh, Western General Hospital, Edinburgh EH4 2XU, UK
    J Neurol Neurosurg Psychiatry 78:454-6. 2007
  44. ncbi Comment on "Detection of an infectious retrovirus, XMRV, in blood cells of patients with chronic fatigue syndrome"
    Cathie Sudlow
    Division of Clinical Neurosciences, University of Edinburgh, Western General Hospital, Edinburgh EH4 2XU, UK
    Science 328:825; author reply 825. 2010
    ..If real, the association may lack generalizability because of the specific characteristics of the cases studied and could be due to reverse causality...
  45. pmc Personality change after stroke: some preliminary observations
    J Stone
    Division of Clinical Neurosciences, School of Molecular and Clinical Medicine, University of Edinburgh, Western General Hospital, Edinburgh, UK
    J Neurol Neurosurg Psychiatry 75:1708-13. 2004
    ..To describe changes in personality after stroke and effects on carers...
  46. ncbi Outcome after interventional or conservative management of unruptured brain arteriovenous malformations: a prospective, population-based cohort study
    Catherine J Wedderburn
    Division of Clinical Neurosciences, University of Edinburgh, Western General Hospital, Edinburgh, UK
    Lancet Neurol 7:223-30. 2008
    ..We aimed to test whether outcome differs between adults who had interventional AVM treatment and those who did not...
  47. pmc Spinocerebellar ataxia type 8 in Scotland: genetic and clinical features in seven unrelated cases and a review of published reports
    A Zeman
    Department of Clinical Neurosciences, University of Edinburgh, Western General Hospital, Edinburgh, UK
    J Neurol Neurosurg Psychiatry 75:459-65. 2004
    ..To establish whether the DNA expansion linked to spinocerebellar ataxia type 8 (SCA 8) is associated with ataxia in Scotland; to clarify the range of associated clinical phenotypes; and to compare the findings with previous reports...
  48. pmc Internet resources for psychiatry and neuropsychiatry
    J Stone
    Department of Clinical Neurosciences, Western General Hospital, Crewe Rd, Edinburgh EH4 2XU, Scotland, UK
    J Neurol Neurosurg Psychiatry 74:10-2. 2003
  49. pmc Functional weakness and sensory disturbance
    J Stone
    Department of Clinical Neurosciences, University of Edinburgh, Western General Hospital, Edinburgh, UK
    J Neurol Neurosurg Psychiatry 73:241-5. 2002
    ..It should be borne in mind that a patient may have both a functional and an organic disorder...
  50. ncbi Neurology, psychiatry, and neuroscience
    Jon Stone
    Am J Psychiatry 160:1013. 2003
  51. ncbi Misdiagnosis of conversion disorder
    Jon Stone
    Am J Psychiatry 160:391; author reply 391-2. 2003
  52. ncbi Alien hand syndrome during migraine or dissociative motor symptoms?
    Jon Stone
    Cephalalgia 23:321; author reply 321-2. 2003
  53. ncbi Recent onset pseudoseizures--clues to aetiology
    Michael Binzer
    Department of Neurology, Esbjerg Hospital, University of Southern Denmark, 6700 Esbjerg, Denmark
    Seizure 13:146-55. 2004
    ..To examine associations of potentially aetiological significance for the development of pseudoseizures by comparing patients with recent onset pseudoseizures with patients with recent onset epilepsy...
  54. doi Response to Harry Potter and the curse of headache
    Jon Stone
    Headache 48:168. 2008
  55. ncbi Wall between neurology and psychiatry. Some parts of the wall are thicker than others
    Jon Stone
    BMJ 325:778. 2002