PROJECT FIONIGAN
ONE-PAGE CONTINUITY REPORT PROTOTYPE
PUBLIC BACK PAGE / HANDOUT PAGE 2

Why Functional Neurological Disorders Are Often Misinterpreted in
Emergency Settings

Emergency Diagnostic Pathway
Patient presents with abnormal movement -> stroke/trauma ruled out -> EEG performed -> if EEG abnormal: seizure diagnosis; if EEG normal: often interpreted as psychiatric or behavioral.

Movement Disorder Neurology Pathway
Observation of abnormal movement -> look for positive FND signs such as variability, distractibility, and entrainment -> review objective tests including EEG, EMG, and imaging -> evaluate motor planning signals such as Bereitschaftspotential -> Functional Neurological Disorder diagnosis.

Clinical Data Trace - Verification Key

Key Source
A NIH Functional Movement Disorder EMG/EEG study (Dec 2023)
B VCU Neurophysiology EMG report (Oct 18 2023)
C Hospital discharge summary (Mar 7 2025)
D Psychiatry progress notes (Jun-Dec 2025)
E Cervical spine surgical records (Sept 2022)
F Laboratory panel (Jan 7 2026)

Physician Pilot Evaluation

Evaluation prompt
Estimated time to review full chart without summary
Time to review this structured summary
Did the summary help you understand the case faster?

Response options
<5 min / 5-15 min / 15-30 min / >30 min
<1 min / 1-5 min / 5-10 min / >10 min
Yes / No

Why this matters
The purpose of the one-page continuity artifact is not to replace clinical judgment. It is to make the next clinical judgment less blind by preserving source-linked context, objective anchors, communication-access information, and unresolved questions in a readable form.