A video review of the diagnosis of psychogenic gait: Appendix and commentary
Identifieur interne : 004E21 ( Main/Exploration ); précédent : 004E20; suivant : 004E22A video review of the diagnosis of psychogenic gait: Appendix and commentary
Auteurs : Michael W. Hayes ; Shanti Graham ; Peter Heldorf ; Gregory De Moore [Australie] ; John G. L. MorrisSource :
- Movement Disorders [ 0885-3185 ] ; 1999-11.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Conversion Disorder (diagnosis), Conversion Disorder (psychology), Diagnosis, Diagnosis, Differential, Female, Functional, Gait, Gait disorder, Human, Humans, Hysterical, Male, Middle Aged, Movement Disorders (diagnosis), Movement Disorders (psychology), Neurologic Examination, Psychogenic, Psychophysiologic Disorders (diagnosis), Psychophysiologic Disorders (psychology), Review, Video Recording, Video recording.
- MESH :
- diagnosis : Conversion Disorder, Movement Disorders, Psychophysiologic Disorders.
- psychology : Conversion Disorder, Movement Disorders, Psychophysiologic Disorders.
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Diagnosis, Differential, Female, Gait, Humans, Male, Middle Aged, Neurologic Examination, Video Recording.
Abstract
The gait and other clinical features of 22 patients presenting to our hospital over the last 10 years are shown on video. In 12 patients, a diagnosis of psychogenic gait was made; in the remainder, the gait abnormality was the result of a neurologic disease. Psychogenic gaits are compared and contrasted with “organic” gaits. In one patient, the psychogenic gait occurred in the setting of a neurologic disease. The “traditional” approach to psychogenic gait, attempting to exclude underlying neurologic and psychiatric disease and seeking evidence for primary and secondary gain, was found to be of limited value. More useful were the features of the gait itself, in particular, exaggerated effort, extreme slowness, variability throughout the day, unusual or uneconomic postures, collapses, convulsive tremors, and distractibility; certain aspects of the history were also helpful. A list of comments is provided. The diagnosis of psychogenic gait, particularly in the elderly, remains fraught with hazard, and a balance has to be sought between subjecting an anxious patient to needless investigations and yet not losing sight of the fact that the patient may be elaborating on symptoms of genuine disease. The bizarre gait of some neurologic disorders, particularly dystonia and chorea, may be a pitfall for the unwary.
Url:
DOI: 10.1002/1531-8257(199911)14:6<914::AID-MDS1002>3.0.CO;2-B
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: 000547
- to stream Istex, to step Curation: 000547
- to stream Istex, to step Checkpoint: 003588
- to stream Main, to step Merge: 007B20
- to stream PascalFrancis, to step Corpus: 002D16
- to stream PascalFrancis, to step Curation: 000005
- to stream PascalFrancis, to step Checkpoint: 002E76
- to stream Main, to step Merge: 007D25
- to stream PubMed, to step Corpus: 004101
- to stream PubMed, to step Curation: 004101
- to stream PubMed, to step Checkpoint: 004280
- to stream Ncbi, to step Merge: 000150
- to stream Ncbi, to step Curation: 000150
- to stream Ncbi, to step Checkpoint: 000150
- to stream Main, to step Merge: 007887
- to stream Main, to step Curation: 004E21
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">A video review of the diagnosis of psychogenic gait: Appendix and commentary</title><author><name sortKey="Hayes, Michael W" sort="Hayes, Michael W" uniqKey="Hayes M" first="Michael W." last="Hayes">Michael W. Hayes</name></author><author><name sortKey="Graham, Shanti" sort="Graham, Shanti" uniqKey="Graham S" first="Shanti" last="Graham">Shanti Graham</name></author><author><name sortKey="Heldorf, Peter" sort="Heldorf, Peter" uniqKey="Heldorf P" first="Peter" last="Heldorf">Peter Heldorf</name></author><author><name sortKey="De Moore, Gregory" sort="De Moore, Gregory" uniqKey="De Moore G" first="Gregory" last="De Moore">Gregory De Moore</name></author><author><name sortKey="Morris, John G L" sort="Morris, John G L" uniqKey="Morris J" first="John G. L." last="Morris">John G. L. Morris</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:3D865BE634D0E9FF6C19C5A502D8037C67C7EE88</idno><date when="1999" year="1999">1999</date><idno type="doi">10.1002/1531-8257(199911)14:6<914::AID-MDS1002>3.0.CO;2-B</idno><idno type="url">https://api.istex.fr/document/3D865BE634D0E9FF6C19C5A502D8037C67C7EE88/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000547</idno><idno type="wicri:Area/Istex/Curation">000547</idno><idno type="wicri:Area/Istex/Checkpoint">003588</idno><idno type="wicri:doubleKey">0885-3185:1999:Hayes M:a:video:review</idno><idno type="wicri:Area/Main/Merge">007B20</idno><idno type="wicri:source">INIST</idno><idno type="RBID">Pascal:00-0007750</idno><idno type="wicri:Area/PascalFrancis/Corpus">002D16</idno><idno type="wicri:Area/PascalFrancis/Curation">000005</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">002E76</idno><idno type="wicri:doubleKey">0885-3185:1999:Hayes M:a:video:review</idno><idno type="wicri:Area/Main/Merge">007D25</idno><idno type="wicri:source">PubMed</idno><idno type="RBID">pubmed:10584664</idno><idno type="wicri:Area/PubMed/Corpus">004101</idno><idno type="wicri:Area/PubMed/Curation">004101</idno><idno type="wicri:Area/PubMed/Checkpoint">004280</idno><idno type="wicri:Area/Ncbi/Merge">000150</idno><idno type="wicri:Area/Ncbi/Curation">000150</idno><idno type="wicri:Area/Ncbi/Checkpoint">000150</idno><idno type="wicri:doubleKey">0885-3185:1999:Hayes M:a:video:review</idno><idno type="wicri:Area/Main/Merge">007887</idno><idno type="wicri:Area/Main/Curation">004E21</idno><idno type="wicri:Area/Main/Exploration">004E21</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">A video review of the diagnosis of psychogenic gait: Appendix and commentary</title><author><name sortKey="Hayes, Michael W" sort="Hayes, Michael W" uniqKey="Hayes M" first="Michael W." last="Hayes">Michael W. Hayes</name><affiliation><wicri:noCountry code="subField">NSW</wicri:noCountry></affiliation></author><author><name sortKey="Graham, Shanti" sort="Graham, Shanti" uniqKey="Graham S" first="Shanti" last="Graham">Shanti Graham</name><affiliation><wicri:noCountry code="subField">NSW</wicri:noCountry></affiliation></author><author><name sortKey="Heldorf, Peter" sort="Heldorf, Peter" uniqKey="Heldorf P" first="Peter" last="Heldorf">Peter Heldorf</name><affiliation><wicri:noCountry code="subField">NSW</wicri:noCountry></affiliation></author><author><name sortKey="De Moore, Gregory" sort="De Moore, Gregory" uniqKey="De Moore G" first="Gregory" last="De Moore">Gregory De Moore</name><affiliation wicri:level="1"><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Psychiatry, Westmead Hospital, Westmead, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation></author><author><name sortKey="Morris, John G L" sort="Morris, John G L" uniqKey="Morris J" first="John G. L." last="Morris">John G. L. Morris</name><affiliation><wicri:noCountry code="subField">NSW</wicri:noCountry></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>John Wiley & Sons, Inc.</publisher><pubPlace>New York</pubPlace><date type="published" when="1999-11">1999-11</date><biblScope unit="vol">14</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="914">914</biblScope><biblScope unit="page" to="921">921</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">3D865BE634D0E9FF6C19C5A502D8037C67C7EE88</idno><idno type="DOI">10.1002/1531-8257(199911)14:6<914::AID-MDS1002>3.0.CO;2-B</idno><idno type="ArticleID">MDS1002</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>Aged, 80 and over</term><term>Child</term><term>Conversion Disorder (diagnosis)</term><term>Conversion Disorder (psychology)</term><term>Diagnosis</term><term>Diagnosis, Differential</term><term>Female</term><term>Functional</term><term>Gait</term><term>Gait disorder</term><term>Human</term><term>Humans</term><term>Hysterical</term><term>Male</term><term>Middle Aged</term><term>Movement Disorders (diagnosis)</term><term>Movement Disorders (psychology)</term><term>Neurologic Examination</term><term>Psychogenic</term><term>Psychophysiologic Disorders (diagnosis)</term><term>Psychophysiologic Disorders (psychology)</term><term>Review</term><term>Video Recording</term><term>Video recording</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Conversion Disorder</term><term>Movement Disorders</term><term>Psychophysiologic Disorders</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Conversion Disorder</term><term>Movement Disorders</term><term>Psychophysiologic Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Child</term><term>Diagnosis, Differential</term><term>Female</term><term>Gait</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Neurologic Examination</term><term>Video Recording</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Article synthèse</term><term>Diagnostic</term><term>Enregistrement vidéo</term><term>Homme</term><term>Psychogène</term><term>Trouble marche</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The gait and other clinical features of 22 patients presenting to our hospital over the last 10 years are shown on video. In 12 patients, a diagnosis of psychogenic gait was made; in the remainder, the gait abnormality was the result of a neurologic disease. Psychogenic gaits are compared and contrasted with “organic” gaits. In one patient, the psychogenic gait occurred in the setting of a neurologic disease. The “traditional” approach to psychogenic gait, attempting to exclude underlying neurologic and psychiatric disease and seeking evidence for primary and secondary gain, was found to be of limited value. More useful were the features of the gait itself, in particular, exaggerated effort, extreme slowness, variability throughout the day, unusual or uneconomic postures, collapses, convulsive tremors, and distractibility; certain aspects of the history were also helpful. A list of comments is provided. The diagnosis of psychogenic gait, particularly in the elderly, remains fraught with hazard, and a balance has to be sought between subjecting an anxious patient to needless investigations and yet not losing sight of the fact that the patient may be elaborating on symptoms of genuine disease. The bizarre gait of some neurologic disorders, particularly dystonia and chorea, may be a pitfall for the unwary.</div></front></TEI><affiliations><list><country><li>Australie</li></country></list><tree><noCountry><name sortKey="Graham, Shanti" sort="Graham, Shanti" uniqKey="Graham S" first="Shanti" last="Graham">Shanti Graham</name><name sortKey="Hayes, Michael W" sort="Hayes, Michael W" uniqKey="Hayes M" first="Michael W." last="Hayes">Michael W. Hayes</name><name sortKey="Heldorf, Peter" sort="Heldorf, Peter" uniqKey="Heldorf P" first="Peter" last="Heldorf">Peter Heldorf</name><name sortKey="Morris, John G L" sort="Morris, John G L" uniqKey="Morris J" first="John G. L." last="Morris">John G. L. Morris</name></noCountry><country name="Australie"><noRegion><name sortKey="De Moore, Gregory" sort="De Moore, Gregory" uniqKey="De Moore G" first="Gregory" last="De Moore">Gregory De Moore</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/MovDisordV3/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 004E21 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 004E21 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= MovDisordV3
|flux= Main
|étape= Exploration
|type= RBID
|clé= ISTEX:3D865BE634D0E9FF6C19C5A502D8037C67C7EE88
|texte= A video review of the diagnosis of psychogenic gait: Appendix and commentary
}}
| This area was generated with Dilib version V0.6.23. |  |