MovDisordV3, Main, Exploration, bibRecord, 002110

Psychogenic tremor: Long term prognosis in patients with electrophysiologically‐confirmed disease

Identifieur interne : 002110 ( Main/Exploration ); précédent : 002109; suivant : 002111

Psychogenic tremor: Long term prognosis in patients with electrophysiologically‐confirmed disease

Auteurs : Andrew Mckeon [États-Unis] ; J. Eric Ahlskog [États-Unis] ; James H. Bower [États-Unis] ; Keith A. Josephs [États-Unis] ; Joseph Y. Matsumoto [États-Unis]

Source :

Movement Disorders [ 0885-3185 ] ; 2009-01-15.

RBID : ISTEX:43C25AE4E53AC62CB0481E3CDC3F615CC7777752

Descripteurs français

Pascal (Inist)
- Homme, Long terme, Neurophysiologie, Pathologie du système nerveux, Pronostic, Psychogène, Tremblement.
Wicri :
- topic : Homme.

English descriptors

KwdEn :
- Adolescent, Adult, Age of Onset, Aged, Behavior Therapy, Cohort Studies, Comorbidity, Conversion Disorder (diagnosis), Conversion Disorder (epidemiology), Conversion Disorder (physiopathology), Conversion Disorder (psychology), Conversion Disorder (rehabilitation), Disease Progression, Electromyography, Female, Follow-Up Studies, Human, Humans, Hypnosis, Long term, Male, Middle Aged, Nervous system diseases, Neurologic Examination, Neurophysiology, Patient Compliance, Prognosis, Psychogenic, Questionnaires, Remission, Spontaneous, Severity of Illness Index, Tremor, Tremor (diagnosis), Tremor (epidemiology), Tremor (physiopathology), Tremor (psychology), Tremor (rehabilitation), Young Adult, neurophysiology, prognosis, psychogenic, tremor.
MESH :
- diagnosis : Conversion Disorder, Tremor.
- epidemiology : Conversion Disorder, Tremor.
- physiopathology : Conversion Disorder, Tremor.
- psychology : Conversion Disorder, Tremor.
- rehabilitation : Conversion Disorder, Tremor.
- Adolescent, Adult, Age of Onset, Aged, Behavior Therapy, Cohort Studies, Comorbidity, Disease Progression, Electromyography, Female, Follow-Up Studies, Humans, Hypnosis, Male, Middle Aged, Neurologic Examination, Patient Compliance, Prognosis, Questionnaires, Remission, Spontaneous, Severity of Illness Index, Young Adult.

Abstract

We describe the presenting features and long‐term outcomes of patients with electrophysiologically‐confirmed psychogenic tremor. Clinical information for all patients with psychogenic tremor confirmed by our Movement Disorders Neurophysiology Laboratory (2003–2004) was reviewed. A follow‐up questionnaire was administered to all included patients in 2007. Psychogenic tremor was documented in 62 patients; 33 responded to the questionnaire (53%). Median onset‐age was 50 years (range, 15–71); 23 were female (70%). Clinical certainty of psychogenic etiology was: definite, 8 (24%); probable, 16 (49%), and possible, 9 (27%). Characteristic electrodiagnostic features of psychogenic tremor were documented in all. All but two patients were ultimately given a definite diagnosis of psychogenic tremor; recommended psychiatric consultation was only done by 12 (36%). Twenty‐one patients (64%) rated tremor disability as moderate or severe after a median follow‐up of 5.1 years (range, 3.3–19). Improvement occurred spontaneously in 5 (15%), and after a specific intervention in 4 (12%), whereas 3 (9%) had mild but unchanged symptoms. The mean duration of symptoms, prior to diagnosis with psychogenic tremor, was significantly shorter for patients with mild or no tremor at follow‐up (P = 0.037). Physiologically‐confirmed psychogenic tremor carries a poor prognosis, with unremitting or worse tremor persisting 3‐years after diagnosis in most. © 2008 Movement Disorder Society

Url:

https://api.istex.fr/document/43C25AE4E53AC62CB0481E3CDC3F615CC7777752/fulltext/pdf

DOI: 10.1002/mds.22301

Affiliations:

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<front><div type="abstract" xml:lang="en">We describe the presenting features and long‐term outcomes of patients with electrophysiologically‐confirmed psychogenic tremor. Clinical information for all patients with psychogenic tremor confirmed by our Movement Disorders Neurophysiology Laboratory (2003–2004) was reviewed. A follow‐up questionnaire was administered to all included patients in 2007. Psychogenic tremor was documented in 62 patients; 33 responded to the questionnaire (53%). Median onset‐age was 50 years (range, 15–71); 23 were female (70%). Clinical certainty of psychogenic etiology was: definite, 8 (24%); probable, 16 (49%), and possible, 9 (27%). Characteristic electrodiagnostic features of psychogenic tremor were documented in all. All but two patients were ultimately given a definite diagnosis of psychogenic tremor; recommended psychiatric consultation was only done by 12 (36%). Twenty‐one patients (64%) rated tremor disability as moderate or severe after a median follow‐up of 5.1 years (range, 3.3–19). Improvement occurred spontaneously in 5 (15%), and after a specific intervention in 4 (12%), whereas 3 (9%) had mild but unchanged symptoms. The mean duration of symptoms, prior to diagnosis with psychogenic tremor, was significantly shorter for patients with mild or no tremor at follow‐up (P = 0.037). Physiologically‐confirmed psychogenic tremor carries a poor prognosis, with unremitting or worse tremor persisting 3‐years after diagnosis in most. © 2008 Movement Disorder Society</div>
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Movement Disorders (revue)

Psychogenic tremor: Long term prognosis in patients with electrophysiologically‐confirmed disease

Psychogenic tremor: Long term prognosis in patients with electrophysiologically‐confirmed disease

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

	Movement Disorders (revue)
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