Psychogenic Facial Movement Disorders: Clinical Features and Associated Conditions
Identifieur interne : 003841 ( Ncbi/Checkpoint ); précédent : 003840; suivant : 003842Psychogenic Facial Movement Disorders: Clinical Features and Associated Conditions
Auteurs : Alfonso Fasano [Italie] ; Anabela Valadas [Portugal] ; Kailash P. Bhatia ; Lk 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 :
- Movement Disorders [ 0885-3185 ] ; 2012.
English descriptors
- KwdEn :
- Adult, Disease Progression, Dystonia (pathology), Dystonia (physiopathology), Face (physiopathology), Facial Injuries (complications), Female, Functional Laterality, Humans, Male, Middle Aged, Movement Disorders (complications), Movement Disorders (psychology), Retrospective Studies, Somatoform Disorders (complications), Somatoform Disorders (psychology).
- MESH :
- complications : Facial Injuries, Movement Disorders, Somatoform Disorders.
- pathology : Dystonia.
- physiopathology : Dystonia, Face.
- psychology : Movement Disorders, Somatoform Disorders.
- Adult, Disease Progression, Female, Functional Laterality, Humans, Male, Middle Aged, Retrospective Studies.
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. © 2012 Movement Disorder Society
Url:
DOI: 10.1002/mds.25190
PubMed: 23033125
PubMed Central: 3633239
Affiliations:
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Duker</name><affiliation wicri:level="2"><nlm:aff id="au9"><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><country xml:lang="fr">États-Unis</country><wicri:regionArea>Cincinnati, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Girlanda, Paolo" sort="Girlanda, Paolo" uniqKey="Girlanda P" first="Paolo" last="Girlanda">Paolo Girlanda</name><affiliation wicri:level="1"><nlm:aff id="au7"><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><affiliation wicri:level="1"><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><affiliation wicri:level="2"><nlm:aff id="au9"><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><country xml:lang="fr">États-Unis</country><wicri:regionArea>Cincinnati, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23033125</idno><idno type="pmc">3633239</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3633239</idno><idno type="RBID">PMC:3633239</idno><idno type="doi">10.1002/mds.25190</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">000462</idno><idno type="wicri:Area/Pmc/Curation">000462</idno><idno type="wicri:Area/Pmc/Checkpoint">000166</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">000C21</idno><idno type="wicri:Area/PubMed/Curation">000C21</idno><idno type="wicri:Area/PubMed/Checkpoint">000C68</idno><idno type="wicri:Area/Ncbi/Merge">003841</idno><idno type="wicri:Area/Ncbi/Curation">003841</idno><idno type="wicri:Area/Ncbi/Checkpoint">003841</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Psychogenic Facial Movement Disorders: Clinical Features and Associated Conditions</title><author><name sortKey="Fasano, Alfonso" sort="Fasano, Alfonso" uniqKey="Fasano A" first="Alfonso" last="Fasano">Alfonso Fasano</name><affiliation wicri:level="1"><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><affiliation wicri:level="3"><nlm:aff id="au2"><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><country>Italie</country><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName><wicri:orgArea>Isola Tiberina</wicri:orgArea></affiliation></author><author><name sortKey="Valadas, Anabela" sort="Valadas, Anabela" uniqKey="Valadas A" first="Anabela" last="Valadas">Anabela Valadas</name><affiliation wicri:level="1"><nlm:aff id="au3"><institution>Department of Neurology, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte</institution><addr-line>EPE, Lisbon, Portugal</addr-line></nlm:aff><country xml:lang="fr">Portugal</country><wicri:regionArea>EPE, Lisbon</wicri:regionArea><wicri:noRegion>Lisbon</wicri:noRegion></affiliation><affiliation><nlm:aff id="au4"><institution>Sobell Department of Motor Neuroscience and Movement Disorders, UCL, Institute of Neurology, University College London</institution><addr-line>United Kingdom</addr-line></nlm:aff></affiliation></author><author><name sortKey="Bhatia, Kailash P" sort="Bhatia, Kailash P" uniqKey="Bhatia K" first="Kailash P" last="Bhatia">Kailash P. Bhatia</name><affiliation><nlm:aff id="au4"><institution>Sobell Department of Motor Neuroscience and Movement Disorders, UCL, Institute of Neurology, University College London</institution><addr-line>United Kingdom</addr-line></nlm:aff></affiliation></author><author><name sortKey="Prashanth, Lk" sort="Prashanth, Lk" uniqKey="Prashanth L" first="Lk" last="Prashanth">Lk Prashanth</name><affiliation wicri:level="1"><nlm:aff id="au5"><institution>Division of Neurology, Toronto Western Hospital, University of Toronto</institution><addr-line>Toronto, Ontario, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Lang, Anthony E" sort="Lang, Anthony E" uniqKey="Lang A" first="Anthony E" last="Lang">Anthony E. Lang</name><affiliation wicri:level="1"><nlm:aff id="au5"><institution>Division of Neurology, Toronto Western Hospital, University of Toronto</institution><addr-line>Toronto, Ontario, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Munhoz, Renato P" sort="Munhoz, Renato P" uniqKey="Munhoz R" first="Renato P" last="Munhoz">Renato P. Munhoz</name><affiliation wicri:level="1"><nlm:aff id="au6"><institution>Service of Neurology, Pontifical Catholic University of Parana</institution><addr-line>Curitiba, Brazil</addr-line></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Curitiba</wicri:regionArea></affiliation></author><author><name sortKey="Morgante, Francesca" sort="Morgante, Francesca" uniqKey="Morgante F" first="Francesca" last="Morgante">Francesca Morgante</name><affiliation wicri:level="1"><nlm:aff id="au7"><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="Tarsy, Daniel" sort="Tarsy, Daniel" uniqKey="Tarsy D" first="Daniel" last="Tarsy">Daniel Tarsy</name><affiliation wicri:level="2"><nlm:aff id="au8"><institution>Beth Israel Deaconess Medical Center, Harvard Medical School</institution><addr-line>Boston, Massachusetts, USA</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Boston, Massachusetts</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Duker, Andrew P" sort="Duker, Andrew P" uniqKey="Duker A" first="Andrew P" last="Duker">Andrew P. Duker</name><affiliation wicri:level="2"><nlm:aff id="au9"><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><country xml:lang="fr">États-Unis</country><wicri:regionArea>Cincinnati, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Girlanda, Paolo" sort="Girlanda, Paolo" uniqKey="Girlanda P" first="Paolo" last="Girlanda">Paolo Girlanda</name><affiliation wicri:level="1"><nlm:aff id="au7"><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><affiliation wicri:level="1"><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><affiliation wicri:level="2"><nlm:aff id="au9"><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><country xml:lang="fr">États-Unis</country><wicri:regionArea>Cincinnati, Ohio</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author></analytic><series><title level="j">Movement Disorders</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><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></keywords></textClass></profileDesc></teiHeader><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><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Thompson, Pd" uniqKey="Thompson P">PD Thompson</name></author><author><name sortKey="Obeso, Ja" uniqKey="Obeso J">JA Obeso</name></author><author><name sortKey="Delgado, G" uniqKey="Delgado G">G Delgado</name></author><author><name sortKey="Gallego, J" uniqKey="Gallego J">J Gallego</name></author><author><name sortKey="Marsden, Cd" uniqKey="Marsden C">CD Marsden</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tan, Ek" uniqKey="Tan E">EK Tan</name></author><author><name sortKey="Jankovic, J" uniqKey="Jankovic J">J Jankovic</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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Chen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Quartarone, A" uniqKey="Quartarone A">A Quartarone</name></author><author><name sortKey="Rizzo, V" uniqKey="Rizzo V">V Rizzo</name></author><author><name sortKey="Terranova, C" uniqKey="Terranova C">C Terranova</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kang, Sy" uniqKey="Kang S">SY Kang</name></author><author><name sortKey="Sohn, Yh" uniqKey="Sohn Y">YH Sohn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Olsen, Lr" uniqKey="Olsen L">LR Olsen</name></author><author><name sortKey="Mortensen, El" uniqKey="Mortensen E">EL Mortensen</name></author><author><name sortKey="Bech, P" uniqKey="Bech P">P Bech</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schwartz, Bs" uniqKey="Schwartz B">BS Schwartz</name></author><author><name sortKey="Stewart, Wf" uniqKey="Stewart W">WF Stewart</name></author><author><name sortKey="Simon, D" uniqKey="Simon D">D Simon</name></author><author><name sortKey="Lipton, Rb" uniqKey="Lipton R">RB Lipton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lang, Ae" uniqKey="Lang A">AE Lang</name></author><author><name sortKey="Voon, V" uniqKey="Voon V">V Voon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Espay, Aj" uniqKey="Espay A">AJ Espay</name></author><author><name sortKey="Goldenhar, Lm" uniqKey="Goldenhar L">LM Goldenhar</name></author><author><name sortKey="Voon, V" uniqKey="Voon V">V Voon</name></author><author><name sortKey="Schrag, A" uniqKey="Schrag A">A Schrag</name></author><author><name sortKey="Burton, N" uniqKey="Burton N">N Burton</name></author><author><name sortKey="Lang, Ae" uniqKey="Lang A">AE Lang</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Brésil</li><li>Canada</li><li>Italie</li><li>Portugal</li><li>États-Unis</li></country><region><li>Latium</li><li>Massachusetts</li><li>Ohio</li></region><settlement><li>Rome</li></settlement></list><tree><noCountry><name sortKey="Bhatia, Kailash P" sort="Bhatia, Kailash P" uniqKey="Bhatia K" first="Kailash P" last="Bhatia">Kailash P. Bhatia</name></noCountry><country name="Italie"><noRegion><name sortKey="Fasano, Alfonso" sort="Fasano, Alfonso" uniqKey="Fasano A" first="Alfonso" last="Fasano">Alfonso Fasano</name></noRegion><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="Canada"><noRegion><name sortKey="Prashanth, Lk" sort="Prashanth, Lk" uniqKey="Prashanth L" first="Lk" last="Prashanth">Lk Prashanth</name></noRegion><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>Pour manipuler ce document sous Unix (Dilib)
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