Psychogenic paralysis and recovery after motor cortex transcranial magnetic stimulation
Identifieur interne : 000201 ( France/Analysis ); précédent : 000200; suivant : 000202Psychogenic paralysis and recovery after motor cortex transcranial magnetic stimulation
Auteurs : Nathalie Chastan [France] ; Dominique Parain [France]Source :
- Movement Disorders [ 0885-3185 ] ; 2010-07-30.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Child, Female, Humans, Male, Middle Aged, Motor Cortex (physiology), Motor cortex, Nervous system diseases, Paralysis, Paralysis (pathology), Paralysis (psychology), Paralysis (therapy), Psychogenic, Recovery, Recovery of Function (physiology), Retrospective Studies, Somatic conversion, Transcranial Magnetic Stimulation (methods), Transcranial magnetic stimulation, Young Adult, conversion disorder, motor cortex, motor paralysis, transcranial magnetic stimulation.
- MESH :
- methods : Transcranial Magnetic Stimulation.
- pathology : Paralysis.
- physiology : Motor Cortex, Recovery of Function.
- psychology : Paralysis.
- therapy : Paralysis.
- Adolescent, Adult, Aged, Child, Female, Humans, Male, Middle Aged, Retrospective Studies, Young Adult.
Abstract
Psychogenic paralysis presents a real treatment challenge. Despite psychotherapy, physiotherapy, antidepressants, acupuncture, or hypnosis, the outcome is not always satisfactory with persistent symptoms after long‐term follow‐up. We conducted a retrospective study to assess clinical features and to propose an alternative treatment based on repetitive transcranial magnetic stimulation (rTMS). Seventy patients (44 F/26 M, mean age: 24.7 ± 16.6 years) experienced paraparesis (57%), monoparesis (37%), tetraparesis (3%), or hemiparesis (3%). A precipitating event was observed in 42 patients, primarily as a psychosocial event or a physical injury. An average of 30 stimuli over the motor cortex contralateral to the corresponding paralysis was delivered at low frequency with a circular coil. The rTMS was effective in 89% of cases, with a significantly better outcome for acute rather than chronic symptoms. In conclusion, motor cortex rTMS seem to be very effective in patients with psychogenic paralysis and could be considered a useful therapeutic option. © 2010 Movement Disorder Society
Url:
DOI: 10.1002/mds.23187
Affiliations:
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ISTEX:9EE3CC141E564E1D32D480B88A8DA877FA79A82ALe document en format XML
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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2010-07-30">2010-07-30</date><biblScope unit="vol">25</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="1501">1501</biblScope><biblScope unit="page" to="1504">1504</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">9EE3CC141E564E1D32D480B88A8DA877FA79A82A</idno><idno type="DOI">10.1002/mds.23187</idno><idno type="ArticleID">MDS23187</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Child</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Motor Cortex (physiology)</term><term>Motor cortex</term><term>Nervous system diseases</term><term>Paralysis</term><term>Paralysis (pathology)</term><term>Paralysis (psychology)</term><term>Paralysis (therapy)</term><term>Psychogenic</term><term>Recovery</term><term>Recovery of Function (physiology)</term><term>Retrospective Studies</term><term>Somatic conversion</term><term>Transcranial Magnetic Stimulation (methods)</term><term>Transcranial magnetic stimulation</term><term>Young Adult</term><term>conversion disorder</term><term>motor cortex</term><term>motor paralysis</term><term>transcranial magnetic stimulation</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Transcranial Magnetic Stimulation</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Paralysis</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Motor Cortex</term><term>Recovery of Function</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Paralysis</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Paralysis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Child</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Young Adult</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Conversion somatique</term><term>Cortex moteur</term><term>Paralysie</term><term>Pathologie du système nerveux</term><term>Psychogène</term><term>Récupération</term><term>Stimulation magnétique transcrânienne</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Psychogenic paralysis presents a real treatment challenge. Despite psychotherapy, physiotherapy, antidepressants, acupuncture, or hypnosis, the outcome is not always satisfactory with persistent symptoms after long‐term follow‐up. We conducted a retrospective study to assess clinical features and to propose an alternative treatment based on repetitive transcranial magnetic stimulation (rTMS). Seventy patients (44 F/26 M, mean age: 24.7 ± 16.6 years) experienced paraparesis (57%), monoparesis (37%), tetraparesis (3%), or hemiparesis (3%). A precipitating event was observed in 42 patients, primarily as a psychosocial event or a physical injury. An average of 30 stimuli over the motor cortex contralateral to the corresponding paralysis was delivered at low frequency with a circular coil. The rTMS was effective in 89% of cases, with a significantly better outcome for acute rather than chronic symptoms. In conclusion, motor cortex rTMS seem to be very effective in patients with psychogenic paralysis and could be considered a useful therapeutic option. © 2010 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>France</li></country><settlement><li>Rouen</li></settlement></list><tree><country name="France"><noRegion><name sortKey="Chastan, Nathalie" sort="Chastan, Nathalie" uniqKey="Chastan N" first="Nathalie" last="Chastan">Nathalie Chastan</name></noRegion><name sortKey="Parain, Dominique" sort="Parain, Dominique" uniqKey="Parain D" first="Dominique" last="Parain">Dominique Parain</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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