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Published on: November 21, 2013
Psychogenic movement disorders
Janis M Miyasaki1, Daniel S Sa, Nestor Galvez-Jimenez
1Morton and Gloria Shulman Movement Disorders Centre, Toronto Western Hospital, Department of Medicine (Neurology), University of Toronto, ON, Canada.
Abstract:
Psychogenic movement disorders (PMD) are challenging to diagnose and to treat. Since the nineteenth century, PMDs were recognized and described in painstaking detail. In the modern neurology clinic, PMDs may comprise 2-25% of the patient population. Recognition of the various types of PMDs, differentiation from organic illness and an approach to PMDs are described in this article.
Insights
Psychogenic movement disorders (PMD) are complex neurological conditions affecting 2-25% of neurology patients. This article details their recognition, differentiation from organic causes, and modern treatment approaches.
Area of Science:
- Neurology
- Neuroscience
- Psychiatry
Background:
- Psychogenic movement disorders (PMD) have been recognized since the nineteenth century.
- These disorders represent a significant portion of cases in modern neurology clinics, ranging from 2-25% of the patient population.
- Accurate diagnosis and effective treatment of PMDs remain challenging.
Purpose of the Study:
- To provide a comprehensive overview of psychogenic movement disorders.
- To outline methods for recognizing various types of PMDs.
- To differentiate PMDs from organic neurological conditions and suggest treatment strategies.
Main Methods:
- Review of historical and contemporary literature on psychogenic movement disorders.
- Clinical case analysis and diagnostic criteria discussion.
- Exploration of differential diagnostic approaches.
Main Results:
- PMDs encompass a range of movement abnormalities with psychogenic origins.
- Key features aid in distinguishing PMDs from organic neurological diseases.
- A structured approach to management is essential for patient care.
Conclusions:
- Early and accurate recognition of PMDs is crucial for effective management.
- Differentiating PMDs from organic disorders requires careful clinical evaluation.
- A multidisciplinary approach may be beneficial for treating patients with psychogenic movement disorders.
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