Transcranial magnetic stimulation as an efficient treatment for psychogenic movement disorders
Identifieur interne : 000A19 ( Istex/Curation ); précédent : 000A18; suivant : 000A20Transcranial magnetic stimulation as an efficient treatment for psychogenic movement disorders
Auteurs : Béatrice Garcin [France] ; Emmanuel Roze [France] ; Francine Mesrati [France] ; Emmanuel Cognat [France] ; Emmanuel Fournier [France] ; Marie Vidailhet [France] ; Bertrand Degos [France]Source :
- Journal of Neurology, Neurosurgery & Psychiatry [ 0022-3050 ] ; 2013-09.
Abstract
Background Management of psychogenic movement disorders (PMDs) is challenging for neurologists and, to date, there is no consensus about their treatment. Recent studies suggested a possible therapeutic effect of repeated transcranial magnetic stimulation (TMS) in psychogenic paralysis and tremor. Objective To document the clinical impact of TMS in PMDs. Methods We blindly video scored symptoms of consecutive patients with PMD who were recorded before and after TMS. TMS was delivered at low frequency (0.25 Hz) over the motor cortex contralateral to symptoms. Results Twenty-four patients were included. They presented with dystonia, myoclonus, tremor, Parkinsonism or stereotypies. The median duration of symptoms before TMS was 2.8 years (6 months to 30 years). The overall score of 75% of patients improved by >50% and, furthermore, the clinical benefits were sustained upon protracted follow-up (median 19.8 months). There was no correlation between improvement and duration of symptoms before TMS. Conclusions TMS is a therapeutic option for PMDs, including chronic PMDs.
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DOI: 10.1136/jnnp-2012-304062
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CNRS UMR 7225, CR-ICM—UPMC, Paris, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Institut du Cerveau et de la Moelle, Inserm UMR_S 975; CNRS UMR 7225, CR-ICM—UPMC, Paris</wicri:regionArea></affiliation></author><author><name sortKey="Roze, Emmanuel" sort="Roze, Emmanuel" uniqKey="Roze E" first="Emmanuel" last="Roze">Emmanuel Roze</name><affiliation wicri:level="1"><mods:affiliation>Département de Neurologie, Hôpital Pitié-Salpêtrière, Centre de Référence Maladie de Parkinson, APHP, Paris, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Département de Neurologie, Hôpital Pitié-Salpêtrière, Centre de Référence Maladie de Parkinson, APHP, Paris</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>Institut du Cerveau et de la Moelle, Inserm UMR_S 975; CNRS UMR 7225, CR-ICM—UPMC, Paris, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Institut du Cerveau et de la Moelle, Inserm UMR_S 975; CNRS UMR 7225, CR-ICM—UPMC, Paris</wicri:regionArea></affiliation></author><author><name sortKey="Mesrati, Francine" sort="Mesrati, Francine" uniqKey="Mesrati F" first="Francine" last="Mesrati">Francine Mesrati</name><affiliation wicri:level="1"><mods:affiliation>Département de Neurophysiologie Clinique, Groupe Hospitalier Pitié-Salpêtrière, APHP, Paris, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Département de Neurophysiologie Clinique, Groupe Hospitalier Pitié-Salpêtrière, APHP, Paris</wicri:regionArea></affiliation></author><author><name sortKey="Cognat, Emmanuel" sort="Cognat, Emmanuel" uniqKey="Cognat E" first="Emmanuel" last="Cognat">Emmanuel Cognat</name><affiliation wicri:level="1"><mods:affiliation>Département de Neurologie, Hôpital Pitié-Salpêtrière, Centre de Référence Maladie de Parkinson, APHP, Paris, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Département de Neurologie, Hôpital Pitié-Salpêtrière, Centre de Référence Maladie de Parkinson, APHP, Paris</wicri:regionArea></affiliation></author><author><name sortKey="Fournier, Emmanuel" sort="Fournier, Emmanuel" uniqKey="Fournier E" first="Emmanuel" last="Fournier">Emmanuel Fournier</name><affiliation wicri:level="1"><mods:affiliation>Département de Neurophysiologie Clinique, Groupe Hospitalier Pitié-Salpêtrière, APHP, Paris, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Département de Neurophysiologie Clinique, Groupe Hospitalier Pitié-Salpêtrière, APHP, Paris</wicri:regionArea></affiliation></author><author><name sortKey="Vidailhet, Marie" sort="Vidailhet, Marie" uniqKey="Vidailhet M" first="Marie" last="Vidailhet">Marie Vidailhet</name><affiliation wicri:level="1"><mods:affiliation>Département de Neurologie, Hôpital Pitié-Salpêtrière, Centre de Référence Maladie de Parkinson, APHP, Paris, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Département de Neurologie, Hôpital Pitié-Salpêtrière, Centre de Référence Maladie de Parkinson, APHP, Paris</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>Institut du Cerveau et de la Moelle, Inserm UMR_S 975; CNRS UMR 7225, CR-ICM—UPMC, Paris, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Institut du Cerveau et de la Moelle, Inserm UMR_S 975; CNRS UMR 7225, CR-ICM—UPMC, Paris</wicri:regionArea></affiliation></author><author><name sortKey="Degos, Bertrand" sort="Degos, Bertrand" uniqKey="Degos B" first="Bertrand" last="Degos">Bertrand Degos</name><affiliation wicri:level="1"><mods:affiliation>Département de Neurologie, Hôpital Pitié-Salpêtrière, Centre de Référence Maladie de Parkinson, APHP, Paris, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Département de Neurologie, Hôpital Pitié-Salpêtrière, Centre de Référence Maladie de Parkinson, APHP, Paris</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>Center for Interdisciplinary Research in Biology, INSERM U-1050, Collège de France, UPMC, Paris, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Center for Interdisciplinary Research in Biology, INSERM U-1050, Collège de France, UPMC, Paris</wicri:regionArea></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Neurology, Neurosurgery & Psychiatry</title><title level="j" type="abbrev">J Neurol Neurosurg Psychiatry</title><idno type="ISSN">0022-3050</idno><idno type="eISSN">1468-330X</idno><imprint><publisher>BMJ Publishing Group Ltd</publisher><date type="published" when="2013-09">2013-09</date><biblScope unit="volume">84</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="1043">1043</biblScope></imprint><idno type="ISSN">0022-3050</idno></series><idno type="istex">195561D7A2DEDAF10263578909CED40AAA76AA55</idno><idno type="DOI">10.1136/jnnp-2012-304062</idno><idno type="href">jnnp-84-1043.pdf</idno><idno type="ArticleID">jnnp-2012-304062</idno><idno type="PMID">23385844</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0022-3050</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Background Management of psychogenic movement disorders (PMDs) is challenging for neurologists and, to date, there is no consensus about their treatment. Recent studies suggested a possible therapeutic effect of repeated transcranial magnetic stimulation (TMS) in psychogenic paralysis and tremor. Objective To document the clinical impact of TMS in PMDs. Methods We blindly video scored symptoms of consecutive patients with PMD who were recorded before and after TMS. TMS was delivered at low frequency (0.25 Hz) over the motor cortex contralateral to symptoms. Results Twenty-four patients were included. They presented with dystonia, myoclonus, tremor, Parkinsonism or stereotypies. The median duration of symptoms before TMS was 2.8 years (6 months to 30 years). The overall score of 75% of patients improved by >50% and, furthermore, the clinical benefits were sustained upon protracted follow-up (median 19.8 months). There was no correlation between improvement and duration of symptoms before TMS. Conclusions TMS is a therapeutic option for PMDs, including chronic PMDs.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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