Movement Disorders (revue)

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Psychogenic Movement Disorders in Children

Identifieur interne : 001081 ( PascalFrancis/Corpus ); précédent : 001080; suivant : 001082

Psychogenic Movement Disorders in Children

Auteurs : Joseph Ferrara ; Joseph Jankovic

Source :

RBID : Pascal:08-0522208

Descripteurs français

English descriptors

Abstract

Psychogenic movement disorders (PMDs) are well characterized in adults, but childhood-onset PMDs have not been extensively studied. We reviewed the medical records of children who were diagnosed in our clinic with PMDs since 1988 and identified 54 patients with PMDs, representing 3.1% of our pediatric movement disorder population and 5.7% of all PMD cases. The mean age at symptom onset was 14.2 years (±2.11, range 7.6-17.7). Similar to published data in adults, two-thirds of children exhibited multiple PMD phenotypes, the most common being tremor followed by dystonia and myoclonus. Most PMDs were abrupt in onset, paroxysmal and triggered by identifiable physical or psychological trauma. As in adults, childhood PMDs were more likely to affect females, but there was no female predominance in children less than 13 years old. Although prior studies suggest that medically unexplained symptoms beginning in childhood often follow a benign course, this cohort of children experienced marked disability and morbidity related to PMDs, including prolonged school absences and unnecessary surgical procedures in more than one-fifth of patients.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0885-3185
A03   1    @0 Mov. disord.
A05       @2 23
A06       @2 13
A08 01  1  ENG  @1 Psychogenic Movement Disorders in Children
A11 01  1    @1 FERRARA (Joseph)
A11 02  1    @1 JANKOVIC (Joseph)
A14 01      @1 Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine @2 Houston, Texas @3 USA @Z 1 aut. @Z 2 aut.
A20       @1 1875-1881
A21       @1 2008
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000184468160120
A44       @0 0000 @1 © 2008 INIST-CNRS. All rights reserved.
A45       @0 52 ref.
A47 01  1    @0 08-0522208
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 Psychogenic movement disorders (PMDs) are well characterized in adults, but childhood-onset PMDs have not been extensively studied. We reviewed the medical records of children who were diagnosed in our clinic with PMDs since 1988 and identified 54 patients with PMDs, representing 3.1% of our pediatric movement disorder population and 5.7% of all PMD cases. The mean age at symptom onset was 14.2 years (±2.11, range 7.6-17.7). Similar to published data in adults, two-thirds of children exhibited multiple PMD phenotypes, the most common being tremor followed by dystonia and myoclonus. Most PMDs were abrupt in onset, paroxysmal and triggered by identifiable physical or psychological trauma. As in adults, childhood PMDs were more likely to affect females, but there was no female predominance in children less than 13 years old. Although prior studies suggest that medically unexplained symptoms beginning in childhood often follow a benign course, this cohort of children experienced marked disability and morbidity related to PMDs, including prolonged school absences and unnecessary surgical procedures in more than one-fifth of patients.
C02 01  X    @0 002B17
C02 02  X    @0 002B17A01
C03 01  X  FRE  @0 Dystonie @5 01
C03 01  X  ENG  @0 Dystonia @5 01
C03 01  X  SPA  @0 Distonía @5 01
C03 02  X  FRE  @0 Myoclonie @5 02
C03 02  X  ENG  @0 Myoclonus @5 02
C03 02  X  SPA  @0 Mioclonia @5 02
C03 03  X  FRE  @0 Tremblement @5 03
C03 03  X  ENG  @0 Tremor @5 03
C03 03  X  SPA  @0 Temblor @5 03
C03 04  X  FRE  @0 Pathologie du système nerveux @5 04
C03 04  X  ENG  @0 Nervous system diseases @5 04
C03 04  X  SPA  @0 Sistema nervioso patología @5 04
C03 05  X  FRE  @0 Psychogène @5 09
C03 05  X  ENG  @0 Psychogenic @5 09
C03 05  X  SPA  @0 Psicógeno @5 09
C03 06  X  FRE  @0 Enfant @5 10
C03 06  X  ENG  @0 Child @5 10
C03 06  X  SPA  @0 Niño @5 10
C07 01  X  FRE  @0 Homme
C07 01  X  ENG  @0 Human
C07 01  X  SPA  @0 Hombre
C07 02  X  FRE  @0 Syndrome extrapyramidal @5 37
C07 02  X  ENG  @0 Extrapyramidal syndrome @5 37
C07 02  X  SPA  @0 Extrapiramidal síndrome @5 37
C07 03  X  FRE  @0 Mouvement involontaire @5 38
C07 03  X  ENG  @0 Involuntary movement @5 38
C07 03  X  SPA  @0 Movimiento involuntario @5 38
C07 04  X  FRE  @0 Pathologie du muscle strié @5 39
C07 04  X  ENG  @0 Striated muscle disease @5 39
C07 04  X  SPA  @0 Músculo estriado patología @5 39
C07 05  X  FRE  @0 Trouble neurologique @5 41
C07 05  X  ENG  @0 Neurological disorder @5 41
C07 05  X  SPA  @0 Trastorno neurológico @5 41
C07 06  X  FRE  @0 Pathologie de l'encéphale @5 42
C07 06  X  ENG  @0 Cerebral disorder @5 42
C07 06  X  SPA  @0 Encéfalo patología @5 42
C07 07  X  FRE  @0 Pathologie du système nerveux central @5 43
C07 07  X  ENG  @0 Central nervous system disease @5 43
C07 07  X  SPA  @0 Sistema nervosio central patología @5 43
N21       @1 343
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 08-0522208 INIST
ET : Psychogenic Movement Disorders in Children
AU : FERRARA (Joseph); JANKOVIC (Joseph)
AF : Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine/Houston, Texas/Etats-Unis (1 aut., 2 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2008; Vol. 23; No. 13; Pp. 1875-1881; Bibl. 52 ref.
LA : Anglais
EA : Psychogenic movement disorders (PMDs) are well characterized in adults, but childhood-onset PMDs have not been extensively studied. We reviewed the medical records of children who were diagnosed in our clinic with PMDs since 1988 and identified 54 patients with PMDs, representing 3.1% of our pediatric movement disorder population and 5.7% of all PMD cases. The mean age at symptom onset was 14.2 years (±2.11, range 7.6-17.7). Similar to published data in adults, two-thirds of children exhibited multiple PMD phenotypes, the most common being tremor followed by dystonia and myoclonus. Most PMDs were abrupt in onset, paroxysmal and triggered by identifiable physical or psychological trauma. As in adults, childhood PMDs were more likely to affect females, but there was no female predominance in children less than 13 years old. Although prior studies suggest that medically unexplained symptoms beginning in childhood often follow a benign course, this cohort of children experienced marked disability and morbidity related to PMDs, including prolonged school absences and unnecessary surgical procedures in more than one-fifth of patients.
CC : 002B17; 002B17A01
FD : Dystonie; Myoclonie; Tremblement; Pathologie du système nerveux; Psychogène; Enfant
FG : Homme; Syndrome extrapyramidal; Mouvement involontaire; Pathologie du muscle strié; Trouble neurologique; Pathologie de l'encéphale; Pathologie du système nerveux central
ED : Dystonia; Myoclonus; Tremor; Nervous system diseases; Psychogenic; Child
EG : Human; Extrapyramidal syndrome; Involuntary movement; Striated muscle disease; Neurological disorder; Cerebral disorder; Central nervous system disease
SD : Distonía; Mioclonia; Temblor; Sistema nervioso patología; Psicógeno; Niño
LO : INIST-20953.354000184468160120
ID : 08-0522208

Links to Exploration step

Pascal:08-0522208

Le document en format XML

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