Movement Disorders (revue)

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Psychogenic Palatal Tremor May Be Underrecognized: Reappraisal of a Large Series of Cases

Identifieur interne : 000260 ( Pmc/Curation ); précédent : 000259; suivant : 000261

Psychogenic Palatal Tremor May Be Underrecognized: Reappraisal of a Large Series of Cases

Auteurs : Maria Stamelou ; Tabish A. Saifee ; Mark J. Edwards ; Kailash P. Bhatia

Source :

RBID : PMC:4235251

Abstract

Background

Palatal tremor is characterized by rhythmic movements of the soft palate and can be essential or symptomatic. Some patients can have palatal movements as a special skill or due to palatal tics. Psychogenic palatal tremor is recognized but rarely reported in the literature.

Methods

We retrospectively evaluated all patients with palatal tremor seen in our center over a period of 10 years.

Results

Of 17 patients with palatal tremor, we identified 10 patients with isolated palatal tremor. In 70% of those the diagnosis of psychogenic palatal tremor could be made. Of the remainder, 2 had palatal tics and 1 essential palatal tremor.

Conclusions

We suggest that psychogenic palatal tremor may be underrecognized and propose that targeted clinical examination of positive signs for psychogenic movement disorders in these patients is essential. The correct identification of such patients has important clinical and scientific implications.


Url:
DOI: 10.1002/mds.24948
PubMed: 22434706
PubMed Central: 4235251

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PMC:4235251

Le document en format XML

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<name sortKey="Saifee, Tabish A" sort="Saifee, Tabish A" uniqKey="Saifee T" first="Tabish A." last="Saifee">Tabish A. Saifee</name>
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<name sortKey="Edwards, Mark J" sort="Edwards, Mark J" uniqKey="Edwards M" first="Mark J." last="Edwards">Mark J. Edwards</name>
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<name sortKey="Bhatia, Kailash P" sort="Bhatia, Kailash P" uniqKey="Bhatia K" first="Kailash P." last="Bhatia">Kailash P. Bhatia</name>
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<title>Background</title>
<p id="P1">Palatal tremor is characterized by rhythmic movements of the soft palate and can be essential or symptomatic. Some patients can have palatal movements as a special skill or due to palatal tics. Psychogenic palatal tremor is recognized but rarely reported in the literature.</p>
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<sec id="S2">
<title>Methods</title>
<p id="P2">We retrospectively evaluated all patients with palatal tremor seen in our center over a period of 10 years.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Of 17 patients with palatal tremor, we identified 10 patients with isolated palatal tremor. In 70% of those the diagnosis of psychogenic palatal tremor could be made. Of the remainder, 2 had palatal tics and 1 essential palatal tremor.</p>
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<title>Conclusions</title>
<p id="P4">We suggest that psychogenic palatal tremor may be underrecognized and propose that targeted clinical examination of positive signs for psychogenic movement disorders in these patients is essential. The correct identification of such patients has important clinical and scientific implications.</p>
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<aff id="A1"> Sobell Department of Motor Neuroscience and Movement Disorders, University College London (UCL) Institute of Neurology, London, United Kingdom</aff>
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<label>*</label>
<bold>Correspondence to:</bold>
Kailash P. Bhatia, Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, Queen Square, London, WC1N 3BG, United Kingdom;
<email>k.bhatia@ucl.ac.uk</email>
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<issue>9</issue>
<fpage>1164</fpage>
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<permissions>
<copyright-statement>© 2012 Movement Disorder Society</copyright-statement>
<copyright-year>2012</copyright-year>
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<abstract>
<sec id="S1">
<title>Background</title>
<p id="P1">Palatal tremor is characterized by rhythmic movements of the soft palate and can be essential or symptomatic. Some patients can have palatal movements as a special skill or due to palatal tics. Psychogenic palatal tremor is recognized but rarely reported in the literature.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">We retrospectively evaluated all patients with palatal tremor seen in our center over a period of 10 years.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Of 17 patients with palatal tremor, we identified 10 patients with isolated palatal tremor. In 70% of those the diagnosis of psychogenic palatal tremor could be made. Of the remainder, 2 had palatal tics and 1 essential palatal tremor.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">We suggest that psychogenic palatal tremor may be underrecognized and propose that targeted clinical examination of positive signs for psychogenic movement disorders in these patients is essential. The correct identification of such patients has important clinical and scientific implications.</p>
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