Movement Disorders (revue)

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Psychogenic Facial Movement Disorders: Clinical Features and Associated Conditions

Identifieur interne : 001013 ( Main/Exploration ); 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

Descripteurs français

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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Le document en format XML

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<term>Adult</term>
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<term>Dystonia</term>
<term>Dystonia (pathology)</term>
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<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>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Dystonie</term>
<term>Blépharospasme</term>
<term>Pathologie du système nerveux</term>
<term>Psychogène</term>
<term>Distorsion</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<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>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Brésil</li>
<li>Canada</li>
<li>Italie</li>
<li>Portugal</li>
<li>Royaume-Uni</li>
<li>États-Unis</li>
</country>
<region>
<li>Latium</li>
<li>Massachusetts</li>
<li>Ohio</li>
<li>Ontario</li>
</region>
<settlement>
<li>Rome</li>
<li>Toronto</li>
</settlement>
<orgName>
<li>Université de Toronto</li>
</orgName>
</list>
<tree>
<country name="Italie">
<region name="Latium">
<name sortKey="Fasano, Alfonso" sort="Fasano, Alfonso" uniqKey="Fasano A" first="Alfonso" last="Fasano">Alfonso Fasano</name>
</region>
<name sortKey="Bentivoglio, Anna Rita" sort="Bentivoglio, Anna Rita" uniqKey="Bentivoglio A" first="Anna Rita" last="Bentivoglio">Anna Rita Bentivoglio</name>
<name sortKey="Fasano, Alfonso" sort="Fasano, Alfonso" uniqKey="Fasano A" first="Alfonso" last="Fasano">Alfonso Fasano</name>
<name sortKey="Girlanda, Paolo" sort="Girlanda, Paolo" uniqKey="Girlanda P" first="Paolo" last="Girlanda">Paolo Girlanda</name>
<name sortKey="Morgante, Francesca" sort="Morgante, Francesca" uniqKey="Morgante F" first="Francesca" last="Morgante">Francesca Morgante</name>
</country>
<country name="Portugal">
<noRegion>
<name sortKey="Valadas, Anabela" sort="Valadas, Anabela" uniqKey="Valadas A" first="Anabela" last="Valadas">Anabela Valadas</name>
</noRegion>
</country>
<country name="Royaume-Uni">
<noRegion>
<name sortKey="Valadas, Anabela" sort="Valadas, Anabela" uniqKey="Valadas A" first="Anabela" last="Valadas">Anabela Valadas</name>
</noRegion>
<name sortKey="Bhatia, Kailash P" sort="Bhatia, Kailash P" uniqKey="Bhatia K" first="Kailash P." last="Bhatia">Kailash P. Bhatia</name>
</country>
<country name="Canada">
<region name="Ontario">
<name sortKey="Prashanth, L K" sort="Prashanth, L K" uniqKey="Prashanth L" first="L. K." last="Prashanth">L. K. Prashanth</name>
</region>
<name sortKey="Lang, Anthony E" sort="Lang, Anthony E" uniqKey="Lang A" first="Anthony E." last="Lang">Anthony E. Lang</name>
</country>
<country name="Brésil">
<noRegion>
<name sortKey="Munhoz, Renato P" sort="Munhoz, Renato P" uniqKey="Munhoz R" first="Renato P." last="Munhoz">Renato P. Munhoz</name>
</noRegion>
</country>
<country name="États-Unis">
<region name="Massachusetts">
<name sortKey="Tarsy, Daniel" sort="Tarsy, Daniel" uniqKey="Tarsy D" first="Daniel" last="Tarsy">Daniel Tarsy</name>
</region>
<name sortKey="Duker, Andrew P" sort="Duker, Andrew P" uniqKey="Duker A" first="Andrew P." last="Duker">Andrew P. Duker</name>
<name sortKey="Espay, Alberto J" sort="Espay, Alberto J" uniqKey="Espay A" first="Alberto J." last="Espay">Alberto J. Espay</name>
</country>
</tree>
</affiliations>
</record>

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