MovDisordV3, PascalFrancis, Corpus, bibRecord, 001078

Psychogenic Movement Disorders in Children : A Report of 15 Cases and a Review of the Literature

Identifieur interne : 001078 ( PascalFrancis/Corpus ); précédent : 001077; suivant : 001079

Psychogenic Movement Disorders in Children : A Report of 15 Cases and a Review of the Literature

Auteurs : Petra Schwingenschuh ; Claustre Pont-Sunyer ; Robert Surtees ; Mark J. Edwards ; Kailash P. Bhatia

Source :

Movement disorders [ 0885-3185 ] ; 2008.

RBID : Pascal:08-0522212

Descripteurs français

Pascal (Inist)
- Trouble somatoforme, Pathologie du système nerveux, Psychogène, Enfant, Etude cas, Pédiatrie, Changement médicament.

English descriptors

KwdEn :
- Case study, Child, Drug conversion, Nervous system diseases, Pediatrics, Psychogenic, Somatoform disorder.

Abstract

Data on psychogenic movement disorders (PMD) in children are scarce, with most existing literature relating to adults only. We report 15 cases with the aim of highlighting the clinical characteristics, risk factors, comorbidity, treatment, outcome, and prognosis of PMD in children. Only 13% of cases had onset before age 10, with the mean age at onset being 12.3 years. Females were predominantly affected (F:M = 4:1). The most common types of movement disorders seen were dystonia (47%), tremor (40%), and gait disorders (13%). Multiple hyperkinetic phenomenologies were observed in many cases. Abrupt onset and precipitation by minor injuries, and stressful life events were commonly reported. Clinical clues on examination suggesting a psychogenic origin were similar to those identified in adults. A distinct feature of PMD in children was the predominant involvement of the dominant limb. The underlying psychiatric diagnosis was conversion disorder in the majority of cases. Time from symptom onset until diagnosis of a PMD varied broadly (between 2 weeks and 5 years). Treatment with cognitive and behavioral therapy and rehabilitation by a multidisciplinary team led to improvement in most cases. However, treatment was much more effective in children with a short time from symptom onset to diagnosis and treatment.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A05				`@2 23`
A06				`@2 13`
A08	`01`	`1`	`ENG`	`@1 Psychogenic Movement Disorders in Children : A Report of 15 Cases and a Review of the Literature`
A11	`01`	`1`		`@1 SCHWINGENSCHUH (Petra)`
A11	`02`	`1`		`@1 PONT-SUNYER (Claustre)`
A11	`03`	`1`		`@1 SURTEES (Robert)`
A11	`04`	`1`		`@1 EDWARDS (Mark J.)`
A11	`05`	`1`		`@1 BHATIA (Kailash P.)`
A14	`01`			`@1 Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, Queen Square @2 London @3 GBR @Z 1 aut. @Z 2 aut. @Z 4 aut. @Z 5 aut.`
A14	`02`			`@1 Department of Neurology, Medical University of Graz @3 AUT @Z 1 aut.`
A14	`03`			`@1 Department of Neurology IMIM-Hospital del Mar @2 Barcelona @3 ESP @Z 2 aut.`
A14	`04`			`@1 Neurosciences Unit, UCL Institute of Child Health @2 London @3 GBR @Z 3 aut.`
A20				`@1 1882-1888`
A21				`@1 2008`
A23	`01`			`@0 ENG`
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A44				`@0 0000 @1 © 2008 INIST-CNRS. All rights reserved.`
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C01	`01`		`ENG`	@0 Data on psychogenic movement disorders (PMD) in children are scarce, with most existing literature relating to adults only. We report 15 cases with the aim of highlighting the clinical characteristics, risk factors, comorbidity, treatment, outcome, and prognosis of PMD in children. Only 13% of cases had onset before age 10, with the mean age at onset being 12.3 years. Females were predominantly affected (F:M = 4:1). The most common types of movement disorders seen were dystonia (47%), tremor (40%), and gait disorders (13%). Multiple hyperkinetic phenomenologies were observed in many cases. Abrupt onset and precipitation by minor injuries, and stressful life events were commonly reported. Clinical clues on examination suggesting a psychogenic origin were similar to those identified in adults. A distinct feature of PMD in children was the predominant involvement of the dominant limb. The underlying psychiatric diagnosis was conversion disorder in the majority of cases. Time from symptom onset until diagnosis of a PMD varied broadly (between 2 weeks and 5 years). Treatment with cognitive and behavioral therapy and rehabilitation by a multidisciplinary team led to improvement in most cases. However, treatment was much more effective in children with a short time from symptom onset to diagnosis and treatment.
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C03	`03`	`X`	`SPA`	`@0 Psicógeno @5 09`
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C03	`04`	`X`	`ENG`	`@0 Child @5 10`
C03	`04`	`X`	`SPA`	`@0 Niño @5 10`
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C03	`06`	`X`	`ENG`	`@0 Pediatrics @5 12`
C03	`06`	`X`	`SPA`	`@0 Pediatría @5 12`
C03	`07`	`X`	`FRE`	`@0 Changement médicament @5 13`
C03	`07`	`X`	`ENG`	`@0 Drug conversion @5 13`
C03	`07`	`X`	`SPA`	`@0 Cambio medicamento @5 13`
C07	`01`	`X`	`FRE`	`@0 Homme`
C07	`01`	`X`	`ENG`	`@0 Human`
C07	`01`	`X`	`SPA`	`@0 Hombre`
N21				`@1 343`
N44	`01`			`@1 OTO`
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Format Inist (serveur)

NO :	PASCAL 08-0522212 INIST
ET :	Psychogenic Movement Disorders in Children : A Report of 15 Cases and a Review of the Literature
AU :	SCHWINGENSCHUH (Petra); PONT-SUNYER (Claustre); SURTEES (Robert); EDWARDS (Mark J.); BHATIA (Kailash P.)
AF :	Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, Queen Square/London/Royaume-Uni (1 aut., 2 aut., 4 aut., 5 aut.); Department of Neurology, Medical University of Graz/Autriche (1 aut.); Department of Neurology IMIM-Hospital del Mar/Barcelona/Espagne (2 aut.); Neurosciences Unit, UCL Institute of Child Health/London/Royaume-Uni (3 aut.)
DT :	Publication en série; Niveau analytique
SO :	Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2008; Vol. 23; No. 13; Pp. 1882-1888; Bibl. 30 ref.
LA :	Anglais
EA :	Data on psychogenic movement disorders (PMD) in children are scarce, with most existing literature relating to adults only. We report 15 cases with the aim of highlighting the clinical characteristics, risk factors, comorbidity, treatment, outcome, and prognosis of PMD in children. Only 13% of cases had onset before age 10, with the mean age at onset being 12.3 years. Females were predominantly affected (F:M = 4:1). The most common types of movement disorders seen were dystonia (47%), tremor (40%), and gait disorders (13%). Multiple hyperkinetic phenomenologies were observed in many cases. Abrupt onset and precipitation by minor injuries, and stressful life events were commonly reported. Clinical clues on examination suggesting a psychogenic origin were similar to those identified in adults. A distinct feature of PMD in children was the predominant involvement of the dominant limb. The underlying psychiatric diagnosis was conversion disorder in the majority of cases. Time from symptom onset until diagnosis of a PMD varied broadly (between 2 weeks and 5 years). Treatment with cognitive and behavioral therapy and rehabilitation by a multidisciplinary team led to improvement in most cases. However, treatment was much more effective in children with a short time from symptom onset to diagnosis and treatment.
CC :	002B17; 002B17E
FD :	Trouble somatoforme; Pathologie du système nerveux; Psychogène; Enfant; Etude cas; Pédiatrie; Changement médicament
FG :	Homme
ED :	Somatoform disorder; Nervous system diseases; Psychogenic; Child; Case study; Pediatrics; Drug conversion
EG :	Human
SD :	Trastorno somatoformo; Sistema nervioso patología; Psicógeno; Niño; Estudio caso; Pediatría; Cambio medicamento
LO :	INIST-20953.354000184468160130
ID :	08-0522212

Links to Exploration step

Pascal:08-0522212

Le document en format XML

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<front><div type="abstract" xml:lang="en">Data on psychogenic movement disorders (PMD) in children are scarce, with most existing literature relating to adults only. We report 15 cases with the aim of highlighting the clinical characteristics, risk factors, comorbidity, treatment, outcome, and prognosis of PMD in children. Only 13% of cases had onset before age 10, with the mean age at onset being 12.3 years. Females were predominantly affected (F:M = 4:1). The most common types of movement disorders seen were dystonia (47%), tremor (40%), and gait disorders (13%). Multiple hyperkinetic phenomenologies were observed in many cases. Abrupt onset and precipitation by minor injuries, and stressful life events were commonly reported. Clinical clues on examination suggesting a psychogenic origin were similar to those identified in adults. A distinct feature of PMD in children was the predominant involvement of the dominant limb. The underlying psychiatric diagnosis was conversion disorder in the majority of cases. Time from symptom onset until diagnosis of a PMD varied broadly (between 2 weeks and 5 years). Treatment with cognitive and behavioral therapy and rehabilitation by a multidisciplinary team led to improvement in most cases. However, treatment was much more effective in children with a short time from symptom onset to diagnosis and treatment.</div>
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<ET>Psychogenic Movement Disorders in Children : A Report of 15 Cases and a Review of the Literature</ET>
<AU>SCHWINGENSCHUH (Petra); PONT-SUNYER (Claustre); SURTEES (Robert); EDWARDS (Mark J.); BHATIA (Kailash P.)</AU>
<AF>Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, Queen Square/London/Royaume-Uni (1 aut., 2 aut., 4 aut., 5 aut.); Department of Neurology, Medical University of Graz/Autriche (1 aut.); Department of Neurology IMIM-Hospital del Mar/Barcelona/Espagne (2 aut.); Neurosciences Unit, UCL Institute of Child Health/London/Royaume-Uni (3 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2008; Vol. 23; No. 13; Pp. 1882-1888; Bibl. 30 ref.</SO>
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<EA>Data on psychogenic movement disorders (PMD) in children are scarce, with most existing literature relating to adults only. We report 15 cases with the aim of highlighting the clinical characteristics, risk factors, comorbidity, treatment, outcome, and prognosis of PMD in children. Only 13% of cases had onset before age 10, with the mean age at onset being 12.3 years. Females were predominantly affected (F:M = 4:1). The most common types of movement disorders seen were dystonia (47%), tremor (40%), and gait disorders (13%). Multiple hyperkinetic phenomenologies were observed in many cases. Abrupt onset and precipitation by minor injuries, and stressful life events were commonly reported. Clinical clues on examination suggesting a psychogenic origin were similar to those identified in adults. A distinct feature of PMD in children was the predominant involvement of the dominant limb. The underlying psychiatric diagnosis was conversion disorder in the majority of cases. Time from symptom onset until diagnosis of a PMD varied broadly (between 2 weeks and 5 years). Treatment with cognitive and behavioral therapy and rehabilitation by a multidisciplinary team led to improvement in most cases. However, treatment was much more effective in children with a short time from symptom onset to diagnosis and treatment.</EA>
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<ED>Somatoform disorder; Nervous system diseases; Psychogenic; Child; Case study; Pediatrics; Drug conversion</ED>
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<SD>Trastorno somatoformo; Sistema nervioso patología; Psicógeno; Niño; Estudio caso; Pediatría; Cambio medicamento</SD>
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	Movement Disorders (revue)
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Movement Disorders (revue)

Psychogenic Movement Disorders in Children : A Report of 15 Cases and a Review of the Literature

Psychogenic Movement Disorders in Children : A Report of 15 Cases and a Review of the Literature

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