A Case of Psychogenic Movement Disorder Mimicking Acute Cerebellar Syndrome
Psikojenik hareket bozuklukları (PHB) altta yatan herhangi bir organik etiyoloji olmaksızın ortaya çıkan farklı tiplerdeki istemsiz hareketlerdir. Tremor, spazm, distoni, parkinsonizm veya miyoklonus şeklinde görülebilirler. Bu hastalıkları organik nörolojik etiyolojilerden ayırabilmek için detaylı bir öykü ve nörolojik muayene gereklidir. PHB'nın klinik pratikte zorlayıcı bir antite olmaları nedeniyle, akut serebellar sendromu taklit eden psikojenik tremor ve yürüyüş bozukluğu olan bu olguyu, PHB'nın tanısal klinik ipuçlarının farkında olmanın, organik hastalıklardan ayırmada ve doğru tedavi uygulamadaki önemini vurgulamak amacıyla sunduk.
Akut serebellar sendromu taklit eden bir psikojenik hareket bozukluğu olgusu
Psychogenic movement disorders (PMDs) are involuntary movements of various kinds without any underlying organic etiology. They can occur as tremor, spasm, dystonia, parkinsonism or myoclonus. A detailed history and neurological examination is essential to differentiate these disorders from organic neurological etiologies. Since PMDs are challenging entities in clinical practice, we presented this case of psychogenic tremor and gait disorder mimicking acute cerebellar syndrome in order to emphasize the importance of diagnostic clinical clues of PMDs in the differentiation of organic diseases, and to give accurate treatment.
___
- Gupta A, Lang AE. Psychogenic movement disorders. Curr Opin Neurol 2009; 22:430-436. [CrossRef]
- Edwards MJ, Bhatia KP. Functional (psychogenic) movement disorders: merging mind and brain. Lancet Neurol 2012; 11:250- 260. [CrossRef]
- Hallett M. Functional (psychogenic) movement disorders - Clinical presentations. Parkinsonism Relat Disord 2016; 22(Suppl 1):149-152. [CrossRef]
- Hallett M, Weiner WJ, Kompoliti K. Psychogenic movement disorders. Parkinsonism Relat Disord 2012; 18(Suppl 1):155-157. [CrossRef]
- Morgante F, Edwards MJ, Espay AJ. Psychogenic movement disorders. Continuum (Minneap Minn) 2013; 19:1383-1396. [CrossRef]
- Czarnecki K, Hallett M. Functional (psychogenic) movement disorders. Curr Opin Neurol 2012; 25:507-512. [CrossRef]
- Lang AE. General overview of psychogenic movement disorders: epidemiology, diagnosis, and prognosis. Psychogenic movement disorders- neurology and neuropsychiatry. Philadelphia: Lippincott Williams & Wilkins, 2006:35-41.
- Schwingenschuh P, Katschnig P, Seiler S, Saifee TA, Aguirregomozcorta M, Cordivari C, Schmidt R, Rothwell JC, Bhatia KP, Edwards MJ. Moving toward "laboratory-supported" criteria for psychogenic tremor. Mov Disord 2011; 26:2509- 2515. [CrossRef]