Movement Disorders (revue)

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Psychogenic Facial Movement Disorders: Clinical Features and Associated Conditions

Identifieur interne : 001013 ( Main/Curation ); précédent : 001012; suivant : 001014

Psychogenic Facial Movement Disorders: Clinical Features and Associated Conditions

Auteurs : Alfonso Fasano [Italie] ; Anabela Valadas [Portugal, Royaume-Uni] ; Kailash P. Bhatia [Royaume-Uni] ; L. K. Prashanth [Canada] ; Anthony E. Lang [Canada] ; Renato P. Munhoz [Brésil] ; Francesca Morgante [Italie] ; Daniel Tarsy [États-Unis] ; Andrew P. Duker [États-Unis] ; Paolo Girlanda [Italie] ; Anna Rita Bentivoglio [Italie] ; Alberto J. Espay [États-Unis]

Source :

RBID : Pascal:12-0423955

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English descriptors

Abstract

The facial phenotype of psychogenic movement disorders has not been fully characterized. Seven tertiary-referral movement disorders centers using a standardized data collection on a computerized database performed a retrospective chart review of psychogenic movement disorders involving the face. Patients with organic forms of facial dystonia or any medical or neurological disorder known to affect facial muscles were excluded. Sixty-one patients fulfilled the inclusion criteria for psychogenic facial movement disorders (91.8% females; age: 37.0 ±11.3 years). Phasic or tonic muscular spasms resembling dystonia were documented in all patients most commonly involving the lips (60.7%), followed by eyelids (50.8%), perinasal region (16.4%), and forehead (9.8%). The most common pattern consisted of tonic, sustained, lateral, and/ or downward protrusion of one side of the lower lip with ipsilateral jaw deviation (84.3%). Ipsi- or contralateral blepharospasm and excessive platysma contraction occurred in isolation or combined with fixed lip dystonia (60.7%). Spasms were reported as painful in 24.6% of cases. Symptom onset was abrupt in most cases (80.3%), with at least 1 precipitating psychological stress or trauma identified in 57.4%. Associated body regions involved included upper limbs (29.5%), neck (16.4%), lower limbs (16.4%), and trunk (4.9%). There were fluctuations in severity and spontaneous exacerbations and remissions (60%). Prevalent comorbidities included depression (38.0%) and tension headache (26.4%). Fixed jaw and/or lip deviation is a characteristic pattern of psychogenic facial movement disorders, occurring in isolation or in combination with other psychogenic movement disorders or other psychogenic features.

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Pascal:12-0423955

Le document en format XML

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<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Movement Disorders</term>
<term>Somatoform Disorders</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Disease Progression</term>
<term>Female</term>
<term>Functional Laterality</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
</keywords>
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<term>Dystonie</term>
<term>Blépharospasme</term>
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<div type="abstract" xml:lang="en">The facial phenotype of psychogenic movement disorders has not been fully characterized. Seven tertiary-referral movement disorders centers using a standardized data collection on a computerized database performed a retrospective chart review of psychogenic movement disorders involving the face. Patients with organic forms of facial dystonia or any medical or neurological disorder known to affect facial muscles were excluded. Sixty-one patients fulfilled the inclusion criteria for psychogenic facial movement disorders (91.8% females; age: 37.0 ±11.3 years). Phasic or tonic muscular spasms resembling dystonia were documented in all patients most commonly involving the lips (60.7%), followed by eyelids (50.8%), perinasal region (16.4%), and forehead (9.8%). The most common pattern consisted of tonic, sustained, lateral, and/ or downward protrusion of one side of the lower lip with ipsilateral jaw deviation (84.3%). Ipsi- or contralateral blepharospasm and excessive platysma contraction occurred in isolation or combined with fixed lip dystonia (60.7%). Spasms were reported as painful in 24.6% of cases. Symptom onset was abrupt in most cases (80.3%), with at least 1 precipitating psychological stress or trauma identified in 57.4%. Associated body regions involved included upper limbs (29.5%), neck (16.4%), lower limbs (16.4%), and trunk (4.9%). There were fluctuations in severity and spontaneous exacerbations and remissions (60%). Prevalent comorbidities included depression (38.0%) and tension headache (26.4%). Fixed jaw and/or lip deviation is a characteristic pattern of psychogenic facial movement disorders, occurring in isolation or in combination with other psychogenic movement disorders or other psychogenic features.</div>
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<term>Blepharospasm</term>
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<term>Psychogenic</term>
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<term>Dystonie</term>
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<div type="abstract" xml:lang="en">The facial phenotype of psychogenic movement disorders has not been fully characterized. Seven tertiary-referral movement disorders centers using a standardized data collection on a computerized database performed a retrospective chart review of psychogenic movement disorders involving the face. Patients with organic forms of facial dystonia or any medical or neurological disorder known to affect facial muscles were excluded. Sixty-one patients fulfilled the inclusion criteria for psychogenic facial movement disorders (91.8% females; age: 37.0 ±11.3 years). Phasic or tonic muscular spasms resembling dystonia were documented in all patients most commonly involving the lips (60.7%), followed by eyelids (50.8%), perinasal region (16.4%), and forehead (9.8%). The most common pattern consisted of tonic, sustained, lateral, and/ or downward protrusion of one side of the lower lip with ipsilateral jaw deviation (84.3%). Ipsi- or contralateral blepharospasm and excessive platysma contraction occurred in isolation or combined with fixed lip dystonia (60.7%). Spasms were reported as painful in 24.6% of cases. Symptom onset was abrupt in most cases (80.3%), with at least 1 precipitating psychological stress or trauma identified in 57.4%. Associated body regions involved included upper limbs (29.5%), neck (16.4%), lower limbs (16.4%), and trunk (4.9%). There were fluctuations in severity and spontaneous exacerbations and remissions (60%). Prevalent comorbidities included depression (38.0%) and tension headache (26.4%). Fixed jaw and/or lip deviation is a characteristic pattern of psychogenic facial movement disorders, occurring in isolation or in combination with other psychogenic movement disorders or other psychogenic features.</div>
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<institution>Department of Neuroscience AFaR-Fatebenefratelli Association for Biomedical Research “San Giovanni Calibita-Fatebenefratelli” Hospital</institution>
<addr-line>Isola Tiberina, Rome</addr-line>
</nlm:aff>
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<author>
<name sortKey="Valadas, Anabela" sort="Valadas, Anabela" uniqKey="Valadas A" first="Anabela" last="Valadas">Anabela Valadas</name>
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<institution>Department of Neurology, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte</institution>
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</affiliation>
</author>
<author>
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</affiliation>
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<author>
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<institution>Division of Neurology, Toronto Western Hospital, University of Toronto</institution>
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<name sortKey="Bentivoglio, Anna Rita" sort="Bentivoglio, Anna Rita" uniqKey="Bentivoglio A" first="Anna Rita" last="Bentivoglio">Anna Rita Bentivoglio</name>
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<wicri:regionArea>Rome</wicri:regionArea>
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<name sortKey="Espay, Alberto J" sort="Espay, Alberto J" uniqKey="Espay A" first="Alberto J" last="Espay">Alberto J. Espay</name>
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<title xml:lang="en" level="a" type="main">Psychogenic Facial Movement Disorders: Clinical Features and Associated Conditions</title>
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<name sortKey="Fasano, Alfonso" sort="Fasano, Alfonso" uniqKey="Fasano A" first="Alfonso" last="Fasano">Alfonso Fasano</name>
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<institution>Dipartimento di Neuroscience, Università Cattolica del Sacro Cuore</institution>
<addr-line>Rome, Italy</addr-line>
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<country xml:lang="fr">Italie</country>
<wicri:regionArea>Rome</wicri:regionArea>
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<institution>Department of Neuroscience AFaR-Fatebenefratelli Association for Biomedical Research “San Giovanni Calibita-Fatebenefratelli” Hospital</institution>
<addr-line>Isola Tiberina, Rome</addr-line>
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<name sortKey="Valadas, Anabela" sort="Valadas, Anabela" uniqKey="Valadas A" first="Anabela" last="Valadas">Anabela Valadas</name>
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<institution>Department of Neurology, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte</institution>
<addr-line>EPE, Lisbon, Portugal</addr-line>
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<country xml:lang="fr">Portugal</country>
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<institution>Sobell Department of Motor Neuroscience and Movement Disorders, UCL, Institute of Neurology, University College London</institution>
<addr-line>United Kingdom</addr-line>
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<author>
<name sortKey="Bhatia, Kailash P" sort="Bhatia, Kailash P" uniqKey="Bhatia K" first="Kailash P" last="Bhatia">Kailash P. Bhatia</name>
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<name sortKey="Prashanth, Lk" sort="Prashanth, Lk" uniqKey="Prashanth L" first="Lk" last="Prashanth">Lk Prashanth</name>
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<name sortKey="Lang, Anthony E" sort="Lang, Anthony E" uniqKey="Lang A" first="Anthony E" last="Lang">Anthony E. Lang</name>
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<institution>Division of Neurology, Toronto Western Hospital, University of Toronto</institution>
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<wicri:noRegion>Ontario</wicri:noRegion>
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<name sortKey="Munhoz, Renato P" sort="Munhoz, Renato P" uniqKey="Munhoz R" first="Renato P" last="Munhoz">Renato P. Munhoz</name>
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<institution>Service of Neurology, Pontifical Catholic University of Parana</institution>
<addr-line>Curitiba, Brazil</addr-line>
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<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Curitiba</wicri:regionArea>
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<author>
<name sortKey="Morgante, Francesca" sort="Morgante, Francesca" uniqKey="Morgante F" first="Francesca" last="Morgante">Francesca Morgante</name>
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<institution>Dipartimento di Neuroscienze, Scienze Psichiatriche ed Anestesiologiche, Università di Messina</institution>
<addr-line>Messina, Italy</addr-line>
</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Messina</wicri:regionArea>
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<name sortKey="Tarsy, Daniel" sort="Tarsy, Daniel" uniqKey="Tarsy D" first="Daniel" last="Tarsy">Daniel Tarsy</name>
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<institution>Beth Israel Deaconess Medical Center, Harvard Medical School</institution>
<addr-line>Boston, Massachusetts, USA</addr-line>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Boston, Massachusetts</wicri:regionArea>
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<region type="state">Massachusetts</region>
</placeName>
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</author>
<author>
<name sortKey="Duker, Andrew P" sort="Duker, Andrew P" uniqKey="Duker A" first="Andrew P" last="Duker">Andrew P. Duker</name>
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<institution>UC Neuroscience Institute, Department of Neurology, Gardner Center for Parkinson's Disease and Movement Disorders, University of Cincinnati</institution>
<addr-line>Cincinnati, Ohio, USA</addr-line>
</nlm:aff>
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<wicri:regionArea>Cincinnati, Ohio</wicri:regionArea>
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<region type="state">Ohio</region>
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<name sortKey="Girlanda, Paolo" sort="Girlanda, Paolo" uniqKey="Girlanda P" first="Paolo" last="Girlanda">Paolo Girlanda</name>
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<institution>Dipartimento di Neuroscienze, Scienze Psichiatriche ed Anestesiologiche, Università di Messina</institution>
<addr-line>Messina, Italy</addr-line>
</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Messina</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Bentivoglio, Anna Rita" sort="Bentivoglio, Anna Rita" uniqKey="Bentivoglio A" first="Anna Rita" last="Bentivoglio">Anna Rita Bentivoglio</name>
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<nlm:aff id="au1">
<institution>Dipartimento di Neuroscience, Università Cattolica del Sacro Cuore</institution>
<addr-line>Rome, Italy</addr-line>
</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Rome</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Espay, Alberto J" sort="Espay, Alberto J" uniqKey="Espay A" first="Alberto J" last="Espay">Alberto J. Espay</name>
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<institution>UC Neuroscience Institute, Department of Neurology, Gardner Center for Parkinson's Disease and Movement Disorders, University of Cincinnati</institution>
<addr-line>Cincinnati, Ohio, USA</addr-line>
</nlm:aff>
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<region type="state">Ohio</region>
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<title level="j">Movement Disorders</title>
<idno type="ISSN">0885-3185</idno>
<idno type="eISSN">1531-8257</idno>
<imprint>
<date when="2012">2012</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Disease Progression</term>
<term>Dystonia (pathology)</term>
<term>Dystonia (physiopathology)</term>
<term>Face (physiopathology)</term>
<term>Facial Injuries (complications)</term>
<term>Female</term>
<term>Functional Laterality</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Movement Disorders (complications)</term>
<term>Movement Disorders (psychology)</term>
<term>Retrospective Studies</term>
<term>Somatoform Disorders (complications)</term>
<term>Somatoform Disorders (psychology)</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Facial Injuries</term>
<term>Movement Disorders</term>
<term>Somatoform Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Dystonia</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Dystonia</term>
<term>Face</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Movement Disorders</term>
<term>Somatoform Disorders</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Disease Progression</term>
<term>Female</term>
<term>Functional Laterality</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
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<front>
<div type="abstract" xml:lang="en">
<p>The facial phenotype of psychogenic movement disorders has not been fully characterized. Seven tertiary-referral movement disorders centers using a standardized data collection on a computerized database performed a retrospective chart review of psychogenic movement disorders involving the face. Patients with organic forms of facial dystonia or any medical or neurological disorder known to affect facial muscles were excluded. Sixty-one patients fulfilled the inclusion criteria for psychogenic facial movement disorders (91.8% females; age: 37.0 ± 11.3 years). Phasic or tonic muscular spasms resembling dystonia were documented in all patients most commonly involving the lips (60.7%), followed by eyelids (50.8%), perinasal region (16.4%), and forehead (9.8%). The most common pattern consisted of tonic, sustained, lateral, and/or downward protrusion of one side of the lower lip with ipsilateral jaw deviation (84.3%). Ipsi- or contralateral blepharospasm and excessive platysma contraction occurred in isolation or combined with fixed lip dystonia (60.7%). Spasms were reported as painful in 24.6% of cases. Symptom onset was abrupt in most cases (80.3%), with at least 1 precipitating psychological stress or trauma identified in 57.4%. Associated body regions involved included upper limbs (29.5%), neck (16.4%), lower limbs (16.4%), and trunk (4.9%). There were fluctuations in severity and spontaneous exacerbations and remissions (60%). Prevalent comorbidities included depression (38.0%) and tension headache (26.4%). Fixed jaw and/or lip deviation is a characteristic pattern of psychogenic facial movement disorders, occurring in isolation or in combination with other psychogenic movement disorders or other psychogenic features. © 2012 Movement Disorder Society</p>
</div>
</front>
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