Psychogenic Facial Movement Disorders: Clinical Features and Associated Conditions
Identifieur interne : 000052 ( PascalFrancis/Corpus ); précédent : 000051; suivant : 000053Psychogenic Facial Movement Disorders: Clinical Features and Associated Conditions
Auteurs : Alfonso Fasano ; Anabela Valadas ; Kailash P. Bhatia ; L. K. Prashanth ; Anthony E. Lang ; Renato P. Munhoz ; Francesca Morgante ; Daniel Tarsy ; Andrew P. Duker ; Paolo Girlanda ; Anna Rita Bentivoglio ; Alberto J. EspaySource :
- Movement disorders [ 0885-3185 ] ; 2012.
Descripteurs français
- Pascal (Inist)
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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Format Inist (serveur)
| NO : | PASCAL 12-0423955 INIST |
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| ET : | Psychogenic Facial Movement Disorders: Clinical Features and Associated Conditions |
| AU : | FASANO (Alfonso); VALADAS (Anabela); BHATIA (Kailash P.); PRASHANTH (L. K.); LANG (Anthony E.); MUNHOZ (Renato P.); MORGANTE (Francesca); TARSY (Daniel); DUKER (Andrew P.); GIRLANDA (Paolo); BENTIVOGLIO (Anna Rita); ESPAY (Alberto J.) |
| AF : | Dipartimento di Neuroscience, Università Cattolica del Sacro Cuore/Rome/Italie (1 aut., 11 aut.); Department of Neuroscience AFaR-Fatebenefratelli Association for Biomedical Research "San Giovanni Calibita-Fatebenefratelli" Hospital, Isola Tiberina/Rome/Italie (1 aut.); Department of Neurology, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, EPE/Lisbon/Portugal (2 aut.); Sobell Department of Motor Neuroscience and Movement Disorders, UCL, Institute of Neurology, University College London/Royaume-Uni (2 aut., 3 aut.); Division of Neurology, Toronto Western Hospital, University of Toronto/Toronto, Ontario/Canada (4 aut., 5 aut.); Service of Neurology, Pontifical Catholic University of Parana/Curitiba/Brésil (6 aut.); Dipartimento di Neuroscienze, Scienze Psichiatriche ed Anestesiologiche, Università di Messina/Messina/Italie (7 aut., 10 aut.); Beth Israel Deaconess Medical Center, Harvard Medical School/Boston, Massachusetts/Etats-Unis (8 aut.); UC Neuroscience Institute, Department of Neurology, Gardner Center for Parkinson's Disease and Movement Disorders, University of Cincinnati/Cincinnati, Ohio/Etats-Unis (9 aut., 12 aut.) |
| DT : | Publication en série; Niveau analytique |
| SO : | Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2012; Vol. 27; No. 12; Pp. 1544-1551; Bibl. 39 ref. |
| LA : | Anglais |
| EA : | 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. |
| CC : | 002B17; 002B17A01 |
| FD : | Dystonie; Blépharospasme; Pathologie du système nerveux; Psychogène; Distorsion |
| FG : | Syndrome extrapyramidal; Mouvement involontaire; Pathologie du muscle strié; Trouble neurologique; Pathologie de l'oeil; Pathologie de la paupière; Pathologie de l'encéphale; Pathologie du système nerveux central |
| ED : | Dystonia; Blepharospasm; Nervous system diseases; Psychogenic; Distortion |
| EG : | Extrapyramidal syndrome; Involuntary movement; Striated muscle disease; Neurological disorder; Eye disease; Eyelid disease; Cerebral disorder; Central nervous system disease |
| SD : | Distonía; Blefaroespasmo; Sistema nervioso patología; Psicógeno; Distorsión |
| LO : | INIST-20953.354000502081650130 |
| ID : | 12-0423955 |
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Espay</name><affiliation><inist:fA14 i1="09"><s1>UC Neuroscience Institute, Department of Neurology, Gardner Center for Parkinson's Disease and Movement Disorders, University of Cincinnati</s1><s2>Cincinnati, Ohio</s2><s3>USA</s3><sZ>9 aut.</sZ><sZ>12 aut.</sZ></inist:fA14></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">12-0423955</idno><date when="2012">2012</date><idno type="stanalyst">PASCAL 12-0423955 INIST</idno><idno type="RBID">Pascal:12-0423955</idno><idno type="wicri:Area/PascalFrancis/Corpus">000052</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">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><inist:fA14 i1="01"><s1>Dipartimento di Neuroscience, Università Cattolica del Sacro Cuore</s1><s2>Rome</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>11 aut.</sZ></inist:fA14></affiliation><affiliation><inist:fA14 i1="02"><s1>Department of Neuroscience AFaR-Fatebenefratelli Association for Biomedical Research "San Giovanni Calibita-Fatebenefratelli" Hospital, Isola Tiberina</s1><s2>Rome</s2><s3>ITA</s3><sZ>1 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Valadas, Anabela" sort="Valadas, Anabela" uniqKey="Valadas A" first="Anabela" last="Valadas">Anabela Valadas</name><affiliation><inist:fA14 i1="03"><s1>Department of Neurology, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, EPE</s1><s2>Lisbon</s2><s3>PRT</s3><sZ>2 aut.</sZ></inist:fA14></affiliation><affiliation><inist:fA14 i1="04"><s1>Sobell Department of Motor Neuroscience and Movement Disorders, UCL, Institute of Neurology, University College London</s1><s3>GBR</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14></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><inist:fA14 i1="04"><s1>Sobell Department of Motor Neuroscience and Movement Disorders, UCL, Institute of Neurology, University College London</s1><s3>GBR</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Prashanth, L K" sort="Prashanth, L K" uniqKey="Prashanth L" first="L. K." last="Prashanth">L. K. Prashanth</name><affiliation><inist:fA14 i1="05"><s1>Division of Neurology, Toronto Western Hospital, University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14></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><inist:fA14 i1="05"><s1>Division of Neurology, Toronto Western Hospital, University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14></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><inist:fA14 i1="06"><s1>Service of Neurology, Pontifical Catholic University of Parana</s1><s2>Curitiba</s2><s3>BRA</s3><sZ>6 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Morgante, Francesca" sort="Morgante, Francesca" uniqKey="Morgante F" first="Francesca" last="Morgante">Francesca Morgante</name><affiliation><inist:fA14 i1="07"><s1>Dipartimento di Neuroscienze, Scienze Psichiatriche ed Anestesiologiche, Università di Messina</s1><s2>Messina</s2><s3>ITA</s3><sZ>7 aut.</sZ><sZ>10 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Tarsy, Daniel" sort="Tarsy, Daniel" uniqKey="Tarsy D" first="Daniel" last="Tarsy">Daniel Tarsy</name><affiliation><inist:fA14 i1="08"><s1>Beth Israel Deaconess Medical Center, Harvard Medical School</s1><s2>Boston, Massachusetts</s2><s3>USA</s3><sZ>8 aut.</sZ></inist:fA14></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><inist:fA14 i1="09"><s1>UC Neuroscience Institute, Department of Neurology, Gardner Center for Parkinson's Disease and Movement Disorders, University of Cincinnati</s1><s2>Cincinnati, Ohio</s2><s3>USA</s3><sZ>9 aut.</sZ><sZ>12 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Girlanda, Paolo" sort="Girlanda, Paolo" uniqKey="Girlanda P" first="Paolo" last="Girlanda">Paolo Girlanda</name><affiliation><inist:fA14 i1="07"><s1>Dipartimento di Neuroscienze, Scienze Psichiatriche ed Anestesiologiche, Università di Messina</s1><s2>Messina</s2><s3>ITA</s3><sZ>7 aut.</sZ><sZ>10 aut.</sZ></inist:fA14></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><inist:fA14 i1="01"><s1>Dipartimento di Neuroscience, Università Cattolica del Sacro Cuore</s1><s2>Rome</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>11 aut.</sZ></inist:fA14></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><inist:fA14 i1="09"><s1>UC Neuroscience Institute, Department of Neurology, Gardner Center for Parkinson's Disease and Movement Disorders, University of Cincinnati</s1><s2>Cincinnati, Ohio</s2><s3>USA</s3><sZ>9 aut.</sZ><sZ>12 aut.</sZ></inist:fA14></affiliation></author></analytic><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Blepharospasm</term><term>Distortion</term><term>Dystonia</term><term>Nervous system diseases</term><term>Psychogenic</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><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0885-3185</s0></fA01><fA03 i2="1"><s0>Mov. disord.</s0></fA03><fA05><s2>27</s2></fA05><fA06><s2>12</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Psychogenic Facial Movement Disorders: Clinical Features and Associated Conditions</s1></fA08><fA11 i1="01" i2="1"><s1>FASANO (Alfonso)</s1></fA11><fA11 i1="02" i2="1"><s1>VALADAS (Anabela)</s1></fA11><fA11 i1="03" i2="1"><s1>BHATIA (Kailash P.)</s1></fA11><fA11 i1="04" i2="1"><s1>PRASHANTH (L. K.)</s1></fA11><fA11 i1="05" i2="1"><s1>LANG (Anthony E.)</s1></fA11><fA11 i1="06" i2="1"><s1>MUNHOZ (Renato P.)</s1></fA11><fA11 i1="07" i2="1"><s1>MORGANTE (Francesca)</s1></fA11><fA11 i1="08" i2="1"><s1>TARSY (Daniel)</s1></fA11><fA11 i1="09" i2="1"><s1>DUKER (Andrew P.)</s1></fA11><fA11 i1="10" i2="1"><s1>GIRLANDA (Paolo)</s1></fA11><fA11 i1="11" i2="1"><s1>BENTIVOGLIO (Anna Rita)</s1></fA11><fA11 i1="12" i2="1"><s1>ESPAY (Alberto J.)</s1></fA11><fA14 i1="01"><s1>Dipartimento di Neuroscience, Università Cattolica del Sacro Cuore</s1><s2>Rome</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>11 aut.</sZ></fA14><fA14 i1="02"><s1>Department of Neuroscience AFaR-Fatebenefratelli Association for Biomedical Research "San Giovanni Calibita-Fatebenefratelli" Hospital, Isola Tiberina</s1><s2>Rome</s2><s3>ITA</s3><sZ>1 aut.</sZ></fA14><fA14 i1="03"><s1>Department of Neurology, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, EPE</s1><s2>Lisbon</s2><s3>PRT</s3><sZ>2 aut.</sZ></fA14><fA14 i1="04"><s1>Sobell Department of Motor Neuroscience and Movement Disorders, UCL, Institute of Neurology, University College London</s1><s3>GBR</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ></fA14><fA14 i1="05"><s1>Division of Neurology, Toronto Western Hospital, University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ></fA14><fA14 i1="06"><s1>Service of Neurology, Pontifical Catholic University of Parana</s1><s2>Curitiba</s2><s3>BRA</s3><sZ>6 aut.</sZ></fA14><fA14 i1="07"><s1>Dipartimento di Neuroscienze, Scienze Psichiatriche ed Anestesiologiche, Università di Messina</s1><s2>Messina</s2><s3>ITA</s3><sZ>7 aut.</sZ><sZ>10 aut.</sZ></fA14><fA14 i1="08"><s1>Beth Israel Deaconess Medical Center, Harvard Medical School</s1><s2>Boston, Massachusetts</s2><s3>USA</s3><sZ>8 aut.</sZ></fA14><fA14 i1="09"><s1>UC Neuroscience Institute, Department of Neurology, Gardner Center for Parkinson's Disease and Movement Disorders, University of Cincinnati</s1><s2>Cincinnati, Ohio</s2><s3>USA</s3><sZ>9 aut.</sZ><sZ>12 aut.</sZ></fA14><fA20><s1>1544-1551</s1></fA20><fA21><s1>2012</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>20953</s2><s5>354000502081650130</s5></fA43><fA44><s0>0000</s0><s1>© 2012 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>39 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>12-0423955</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Movement disorders</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>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.</s0></fC01><fC02 i1="01" i2="X"><s0>002B17</s0></fC02><fC02 i1="02" i2="X"><s0>002B17A01</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Dystonie</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Dystonia</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Distonía</s0><s5>01</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Blépharospasme</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Blepharospasm</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Blefaroespasmo</s0><s5>02</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Pathologie du système nerveux</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Nervous system diseases</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Sistema nervioso patología</s0><s5>03</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Psychogène</s0><s5>09</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Psychogenic</s0><s5>09</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Psicógeno</s0><s5>09</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Distorsion</s0><s5>10</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Distortion</s0><s5>10</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Distorsión</s0><s5>10</s5></fC03><fC07 i1="01" i2="X" l="FRE"><s0>Syndrome extrapyramidal</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="ENG"><s0>Extrapyramidal syndrome</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="SPA"><s0>Extrapiramidal síndrome</s0><s5>37</s5></fC07><fC07 i1="02" i2="X" l="FRE"><s0>Mouvement involontaire</s0><s5>38</s5></fC07><fC07 i1="02" i2="X" l="ENG"><s0>Involuntary movement</s0><s5>38</s5></fC07><fC07 i1="02" i2="X" l="SPA"><s0>Movimiento involuntario</s0><s5>38</s5></fC07><fC07 i1="03" i2="X" l="FRE"><s0>Pathologie du muscle strié</s0><s5>39</s5></fC07><fC07 i1="03" i2="X" l="ENG"><s0>Striated muscle disease</s0><s5>39</s5></fC07><fC07 i1="03" i2="X" l="SPA"><s0>Músculo estriado patología</s0><s5>39</s5></fC07><fC07 i1="04" i2="X" l="FRE"><s0>Trouble neurologique</s0><s5>41</s5></fC07><fC07 i1="04" i2="X" l="ENG"><s0>Neurological disorder</s0><s5>41</s5></fC07><fC07 i1="04" i2="X" l="SPA"><s0>Trastorno neurológico</s0><s5>41</s5></fC07><fC07 i1="05" i2="X" l="FRE"><s0>Pathologie de l'oeil</s0><s5>42</s5></fC07><fC07 i1="05" i2="X" l="ENG"><s0>Eye disease</s0><s5>42</s5></fC07><fC07 i1="05" i2="X" l="SPA"><s0>Ojo patología</s0><s5>42</s5></fC07><fC07 i1="06" i2="X" l="FRE"><s0>Pathologie de la paupière</s0><s5>43</s5></fC07><fC07 i1="06" i2="X" l="ENG"><s0>Eyelid disease</s0><s5>43</s5></fC07><fC07 i1="06" i2="X" l="SPA"><s0>Párpado patología</s0><s5>43</s5></fC07><fC07 i1="07" i2="X" l="FRE"><s0>Pathologie de l'encéphale</s0><s5>44</s5></fC07><fC07 i1="07" i2="X" l="ENG"><s0>Cerebral disorder</s0><s5>44</s5></fC07><fC07 i1="07" i2="X" l="SPA"><s0>Encéfalo patología</s0><s5>44</s5></fC07><fC07 i1="08" i2="X" l="FRE"><s0>Pathologie du système nerveux central</s0><s5>45</s5></fC07><fC07 i1="08" i2="X" l="ENG"><s0>Central nervous system disease</s0><s5>45</s5></fC07><fC07 i1="08" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0><s5>45</s5></fC07><fN21><s1>331</s1></fN21><fN44 i1="01"><s1>OTO</s1></fN44><fN82><s1>OTO</s1></fN82></pA></standard><server><NO>PASCAL 12-0423955 INIST</NO><ET>Psychogenic Facial Movement Disorders: Clinical Features and Associated Conditions</ET><AU>FASANO (Alfonso); VALADAS (Anabela); BHATIA (Kailash P.); PRASHANTH (L. K.); LANG (Anthony E.); MUNHOZ (Renato P.); MORGANTE (Francesca); TARSY (Daniel); DUKER (Andrew P.); GIRLANDA (Paolo); BENTIVOGLIO (Anna Rita); ESPAY (Alberto J.)</AU><AF>Dipartimento di Neuroscience, Università Cattolica del Sacro Cuore/Rome/Italie (1 aut., 11 aut.); Department of Neuroscience AFaR-Fatebenefratelli Association for Biomedical Research "San Giovanni Calibita-Fatebenefratelli" Hospital, Isola Tiberina/Rome/Italie (1 aut.); Department of Neurology, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, EPE/Lisbon/Portugal (2 aut.); Sobell Department of Motor Neuroscience and Movement Disorders, UCL, Institute of Neurology, University College London/Royaume-Uni (2 aut., 3 aut.); Division of Neurology, Toronto Western Hospital, University of Toronto/Toronto, Ontario/Canada (4 aut., 5 aut.); Service of Neurology, Pontifical Catholic University of Parana/Curitiba/Brésil (6 aut.); Dipartimento di Neuroscienze, Scienze Psichiatriche ed Anestesiologiche, Università di Messina/Messina/Italie (7 aut., 10 aut.); Beth Israel Deaconess Medical Center, Harvard Medical School/Boston, Massachusetts/Etats-Unis (8 aut.); UC Neuroscience Institute, Department of Neurology, Gardner Center for Parkinson's Disease and Movement Disorders, University of Cincinnati/Cincinnati, Ohio/Etats-Unis (9 aut., 12 aut.)</AF><DT>Publication en série; Niveau analytique</DT><SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2012; Vol. 27; No. 12; Pp. 1544-1551; Bibl. 39 ref.</SO><LA>Anglais</LA><EA>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.</EA><CC>002B17; 002B17A01</CC><FD>Dystonie; Blépharospasme; Pathologie du système nerveux; Psychogène; Distorsion</FD><FG>Syndrome extrapyramidal; Mouvement involontaire; Pathologie du muscle strié; Trouble neurologique; Pathologie de l'oeil; Pathologie de la paupière; Pathologie de l'encéphale; Pathologie du système nerveux central</FG><ED>Dystonia; Blepharospasm; Nervous system diseases; Psychogenic; Distortion</ED><EG>Extrapyramidal syndrome; Involuntary movement; Striated muscle disease; Neurological disorder; Eye disease; Eyelid disease; Cerebral disorder; Central nervous system disease</EG><SD>Distonía; Blefaroespasmo; Sistema nervioso patología; Psicógeno; Distorsión</SD><LO>INIST-20953.354000502081650130</LO><ID>12-0423955</ID></server></inist></record>Pour manipuler ce document sous Unix (Dilib)
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