Faust Jessica, Soman Teesta B
The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, Canada.
J Child Neurol. 2012 May;27(5):610-4. doi: 10.1177/0883073811422753. Epub 2011 Dec 2.
Psychogenic movement disorders are defined as hyperkinetic or hypokinetic movement disorders associated with underlying psychological disorders. Psychogenic movement disorders account for 1% to 9% of all neurologic diagnoses. The assessment and treatment of psychogenic movement disorders can be complex. We report patients seen over the past 5 years, diagnosed with psychogenic movement disorder. We discuss in this article some patient characteristics and some strategies that are effective in the management of this group of patients. The case examples presented in the current article demonstrate the importance of two factors, a multidisciplinary approach and engaging the family, that are essential components in the treatment of psychogenic movement disorders.
精神源性运动障碍被定义为与潜在心理障碍相关的多动或少动性运动障碍。精神源性运动障碍占所有神经科诊断病例的1%至9%。精神源性运动障碍的评估和治疗可能很复杂。我们报告了过去5年中诊断为精神源性运动障碍的患者。在本文中,我们讨论了一些患者特征以及对这类患者进行有效管理的一些策略。本文给出的病例示例证明了两个因素的重要性,即多学科方法和让家庭参与,这是精神源性运动障碍治疗的重要组成部分。