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Published on: November 21, 2013
Psychogenic tremors
W Koller1, A Lang, B Vetere-Overfield
1Department of Neurology, University of Kansas Medical Center, Kansas City 66103.
Neurology
|August 1, 1989
Summary
Psychogenic tremors present unique symptoms like variable tremor types and distractibility. This study proposes diagnostic criteria for psychogenic tremor, aiding clinical identification.
Area of Science:
- Neurology
- Psychiatry
Background:
- Psychogenic tremors are a challenging diagnosis.
- Characterized by complex and variable clinical presentations.
Observation:
- The study analyzed 24 patients (9 men, 15 women, ages 15-78) with psychogenic tremors.
- Unique clinical features included complex tremor types, abrupt onset, inconsistent symptoms, and distractibility influencing tremor.
- Patients often exhibited somatizations, psychiatric conditions, and atypical tremorgraphic findings.
Findings:
- Psychogenic tremors demonstrated unresponsiveness to conventional treatments.
- Absence of objective laboratory or radiographic evidence supported the diagnosis.
- Spontaneous remissions or recovery with psychotherapy were noted.
Implications:
- Establishing clear diagnostic criteria for psychogenic tremor is crucial for accurate diagnosis.
- This research aids clinicians in identifying and managing psychogenic tremor effectively.
- Understanding psychogenic tremor can improve patient outcomes and reduce unnecessary investigations.
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