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Psychogenic tremors.

W Koller1, A Lang, B Vetere-Overfield

  • 1Department of Neurology, University of Kansas Medical Center, Kansas City 66103.

Neurology
|August 1, 1989
PubMed
Summary
This summary is machine-generated.

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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.

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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.