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Psychogenic movement disorders in two children.

Sibel Ozekmekçi1, Hulya Apaydin, Burçak Ekinci

  • 1Department of Neurology, Istanbul University, Cerrahpaşa Medical School, Istanbul, Turkey. sibeloz@superonline.com

Movement Disorders : Official Journal of the Movement Disorder Society
|November 26, 2003
PubMed
Summary

This study describes two schoolboys diagnosed with psychogenic movement disorder (PMD). The cases highlight varied presentations of this neurological condition in children, emphasizing the need for accurate diagnosis.

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Area of Science:

  • Neurology
  • Pediatrics
  • Psychiatry

Background:

  • Psychogenic movement disorder (PMD) is a functional neurological disorder characterized by involuntary movements.
  • Diagnosis can be challenging due to overlapping symptoms with organic movement disorders.
  • Understanding pediatric presentations is crucial for timely intervention.

Observation:

  • Two schoolboys presented with distinct symptoms meeting the diagnostic criteria for PMD.
  • One boy exhibited a bizarre tremor in his right hand and a notably slow, cautious gait.
  • The second boy displayed exaggerated trunk sway and experienced collapses while standing and walking.

Findings:

  • The observed symptoms in both schoolboys align with established diagnostic criteria for psychogenic movement disorder.

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  • The cases illustrate the diverse clinical manifestations of PMD in pediatric patients.
  • These presentations underscore the importance of a comprehensive diagnostic approach.

    • Implications:

    • Accurate and timely diagnosis of PMD in children can prevent unnecessary investigations and treatments.
    • Recognizing PMD facilitates appropriate management strategies, potentially improving patient outcomes.
    • Further research into the etiology and treatment of pediatric PMD is warranted.