Paul Blocq and (psychogenic) astasia abasia.
Identifieur interne : 001C13 ( Ncbi/Checkpoint ); précédent : 001C12; suivant : 001C14Paul Blocq and (psychogenic) astasia abasia.
Auteurs : Michael S. Okun [États-Unis] ; Peter J. KoehlerSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2007.
Descripteurs français
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- MESH :
- geographic : France.
- history : Conversion Disorder, Medical Illustration, Neurology.
- methods : Neurology.
- physiopathology : Conversion Disorder.
- psychology : Conversion Disorder.
- History, 19th Century, History, 20th Century, History, 21st Century, Humans, Translating.
Abstract
The Greek term astasia-abasia literally translates to mean inability to stand and to walk. Although today we would classify the syndrome as a conversion disorder, it was considered a separate disease by Paul Blocq (1860-1896), who described this phenomenon as the inability to maintain an upright posture, despite normal function of the legs in the bed. Paul Blocq's original 1888 articles on astasia abasia were read, partly translated from French to English, and the cases were summarized. A review of a selection of the literature following Blocq's description on astasia abasia was performed. Present day literature was consulted as well. Blocq reviewed what was known about astasia abasia in two papers. Although he was the first to use the combined term astasia abasia, he referred to similar descriptions of Charcot, Richer, Mitchell, Jaccoud, Roméi, and Erlenmeyer. Blocq's contribution was in compiling the experiences and observations of preeminent 19th century neurologists. He recognized that paralysis, jumping, fits, tremor, and bizarre behavior could all be associated with the syndrome. He distinguished the disorder from hysteria. Moreover, he presented a formal delineation of the gait disorder and provided a pathophysiologic concept. Prognosis was considered favorable. Paul Blocq directed attention to psychogenic gait disorders by publishing a small case series on astasia abasia. Today, these case descriptions would be likely considered cases of conversion or psychogenic gait disorder, with or without other conversion/psychogenic movement disorders.
DOI: 10.1002/mds.21474
PubMed: 17516452
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Paul Blocq and (psychogenic) astasia abasia.</title><author><name sortKey="Okun, Michael S" sort="Okun, Michael S" uniqKey="Okun M" first="Michael S" last="Okun">Michael S. Okun</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology, Movement Disorders Center, McKnight Brain Institute, University of Florida, Gainesville, Florida, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, Movement Disorders Center, McKnight Brain Institute, University of Florida, Gainesville, Florida</wicri:regionArea><placeName><region type="state">Floride</region></placeName></affiliation></author><author><name sortKey="Koehler, Peter J" sort="Koehler, Peter J" uniqKey="Koehler P" first="Peter J" last="Koehler">Peter J. Koehler</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2007">2007</date><idno type="doi">10.1002/mds.21474</idno><idno type="RBID">pubmed:17516452</idno><idno type="pmid">17516452</idno><idno type="wicri:Area/PubMed/Corpus">002726</idno><idno type="wicri:Area/PubMed/Curation">002726</idno><idno type="wicri:Area/PubMed/Checkpoint">002650</idno><idno type="wicri:Area/Ncbi/Merge">001C13</idno><idno type="wicri:Area/Ncbi/Curation">001C13</idno><idno type="wicri:Area/Ncbi/Checkpoint">001C13</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Paul Blocq and (psychogenic) astasia abasia.</title><author><name sortKey="Okun, Michael S" sort="Okun, Michael S" uniqKey="Okun M" first="Michael S" last="Okun">Michael S. Okun</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology, Movement Disorders Center, McKnight Brain Institute, University of Florida, Gainesville, Florida, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, Movement Disorders Center, McKnight Brain Institute, University of Florida, Gainesville, Florida</wicri:regionArea><placeName><region type="state">Floride</region></placeName></affiliation></author><author><name sortKey="Koehler, Peter J" sort="Koehler, Peter J" uniqKey="Koehler P" first="Peter J" last="Koehler">Peter J. Koehler</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="ISSN">0885-3185</idno><imprint><date when="2007" type="published">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Conversion Disorder (history)</term><term>Conversion Disorder (physiopathology)</term><term>Conversion Disorder (psychology)</term><term>France</term><term>History, 19th Century</term><term>History, 20th Century</term><term>History, 21st Century</term><term>Humans</term><term>Medical Illustration (history)</term><term>Neurology (history)</term><term>Neurology (methods)</term><term>Translating</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>France</term></keywords><keywords scheme="MESH" qualifier="history" xml:lang="en"><term>Conversion Disorder</term><term>Medical Illustration</term><term>Neurology</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Neurology</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Conversion Disorder</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Conversion Disorder</term></keywords><keywords scheme="MESH" xml:lang="en"><term>History, 19th Century</term><term>History, 20th Century</term><term>History, 21st Century</term><term>Humans</term><term>Translating</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The Greek term astasia-abasia literally translates to mean inability to stand and to walk. Although today we would classify the syndrome as a conversion disorder, it was considered a separate disease by Paul Blocq (1860-1896), who described this phenomenon as the inability to maintain an upright posture, despite normal function of the legs in the bed. Paul Blocq's original 1888 articles on astasia abasia were read, partly translated from French to English, and the cases were summarized. A review of a selection of the literature following Blocq's description on astasia abasia was performed. Present day literature was consulted as well. Blocq reviewed what was known about astasia abasia in two papers. Although he was the first to use the combined term astasia abasia, he referred to similar descriptions of Charcot, Richer, Mitchell, Jaccoud, Roméi, and Erlenmeyer. Blocq's contribution was in compiling the experiences and observations of preeminent 19th century neurologists. He recognized that paralysis, jumping, fits, tremor, and bizarre behavior could all be associated with the syndrome. He distinguished the disorder from hysteria. Moreover, he presented a formal delineation of the gait disorder and provided a pathophysiologic concept. Prognosis was considered favorable. Paul Blocq directed attention to psychogenic gait disorders by publishing a small case series on astasia abasia. Today, these case descriptions would be likely considered cases of conversion or psychogenic gait disorder, with or without other conversion/psychogenic movement disorders.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Floride</li></region></list><tree><noCountry><name sortKey="Koehler, Peter J" sort="Koehler, Peter J" uniqKey="Koehler P" first="Peter J" last="Koehler">Peter J. Koehler</name></noCountry><country name="États-Unis"><region name="Floride"><name sortKey="Okun, Michael S" sort="Okun, Michael S" uniqKey="Okun M" first="Michael S" last="Okun">Michael S. Okun</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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