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Psychogenic movement disorders in children.
Douglas B Kirsch1, Jonathan W Mink
1Department of Neurology, University of Rochester School of Medicine and Strong Memorial Hospital, New York 14642, USA.
Pediatric Neurology
|January 24, 2004
Summary
Psychogenic movement disorders present with neurologic symptoms but lack a clear neurologic cause, often impacting children. Diagnosis requires combining history, examination, and treatment, with a need for more research.
Area of Science:
- Neurology
- Psychiatry
- Pediatrics
Background:
- Neurologic symptoms without an identifiable neurologic basis are common.
- These conditions are frequently attributed to psychologic factors.
- Abnormal movements are a hallmark symptom of psychogenic neurologic disorders.
Observation:
- Psychogenic movement disorders are observed in children, supported by clinical experience and case reports.
- Diagnosis necessitates integrating patient history, physical examination findings, and therapeutic responses.
- Current literature highlights a scarcity of prospective studies on these pediatric disorders.
Findings:
- Psychogenic movement disorders in children present diagnostic challenges.
- A comprehensive approach combining clinical evaluation and treatment is crucial for diagnosis.
- Case examples illustrate the complexities in diagnosing and managing these conditions.
Implications:
- Further prospective trials are essential for establishing robust diagnostic and treatment guidelines.
- Improved understanding can lead to better patient care for children with psychogenic movement disorders.
- This review underscores the need for evidence-based approaches in pediatric psychogenic neurology.