Psychogenic movement disorders

Mary Ann Thenganatt; Joseph Jankovic

doi:10.1016/j.ncl.2014.09.013

Psychogenic movement disorders

Neurol Clin. 2015 Feb;33(1):205-24. doi: 10.1016/j.ncl.2014.09.013.

Authors

Mary Ann Thenganatt¹, Joseph Jankovic²

Affiliations

¹ Department of Neurology, Parkinson's Disease Center and Movement Disorders Clinic, Baylor College of Medicine, The Smith Tower, Suite 1801, 6550 Fannin, Houston, Texas 77030, USA. Electronic address: mary.thenganatt@bcm.edu.
² Department of Neurology, Parkinson's Disease Center and Movement Disorders Clinic, Baylor College of Medicine, The Smith Tower, Suite 1801, 6550 Fannin, Houston, Texas 77030, USA.

PMID: 25432730
DOI: 10.1016/j.ncl.2014.09.013

Abstract

Psychogenic movement disorders (PMDs) can present with varied phenomenology that may resemble organic movement disorders. The diagnosis is based on clinical evaluation with a supporting history and classic features on neurologic examination. Ancillary testing, such as imaging and neurophysiologic studies, can provide supplementary information but is not necessary for diagnosis. There is no standard protocol for the treatment of PMDs, but a multidisciplinary approach has been recommended. This review discusses the clinical characteristics of various PMDs as well as ancillary testing, treatment, and research in the pathophysiology of this complex group of disorders.

Keywords: Dystonia; Movement disorders; Myoclonus; Parkinsonism; Paroxysmal dyskinesia; Psychogenic; Tics; Tremor.

Publication types

Review
Video-Audio Media

MeSH terms

Humans
Movement Disorders / diagnosis*
Movement Disorders / psychology*
Psychophysiologic Disorders / diagnosis*
Somatoform Disorders / diagnosis*