Transcranial magnetic stimulation as an efficient treatment for psychogenic movement disorders.
Identifieur interne : 000614 ( PubMed/Checkpoint ); précédent : 000613; suivant : 000615Transcranial magnetic stimulation as an efficient treatment for psychogenic movement disorders.
Auteurs : Béatrice Garcin [France] ; Emmanuel Roze ; Francine Mesrati ; Emmanuel Cognat ; Emmanuel Fournier ; Marie Vidailhet ; Bertrand DegosSource :
- Journal of neurology, neurosurgery, and psychiatry [ 1468-330X ] ; 2013.
English descriptors
- KwdEn :
- Adult, Aged, Conversion Disorder (complications), Conversion Disorder (physiopathology), Conversion Disorder (therapy), Dystonia (diagnosis), Electroencephalography, Evoked Potentials, Motor (physiology), Evoked Potentials, Somatosensory, Female, Humans, Male, Mental Disorders (complications), Middle Aged, Movement Disorders (complications), Movement Disorders (physiopathology), Movement Disorders (therapy), Myoclonus (diagnosis), Parkinsonian Disorders (diagnosis), Pilot Projects, Prospective Studies, Recurrence, Transcranial Magnetic Stimulation (methods), Treatment Outcome, Tremor (diagnosis), Young Adult.
- MESH :
- complications : Conversion Disorder, Mental Disorders, Movement Disorders.
- diagnosis : Dystonia, Myoclonus, Parkinsonian Disorders, Tremor.
- methods : Transcranial Magnetic Stimulation.
- physiology : Evoked Potentials, Motor.
- physiopathology : Conversion Disorder, Movement Disorders.
- therapy : Conversion Disorder, Movement Disorders.
- Adult, Aged, Electroencephalography, Evoked Potentials, Somatosensory, Female, Humans, Male, Middle Aged, Pilot Projects, Prospective Studies, Recurrence, Treatment Outcome, Young Adult.
Abstract
Management of psychogenic movement disorders (PMDs) is challenging for neurologists and, to date, there is no consensus about their treatment. Recent studies suggested a possible therapeutic effect of repeated transcranial magnetic stimulation (TMS) in psychogenic paralysis and tremor.
DOI: 10.1136/jnnp-2012-304062
PubMed: 23385844
Affiliations:
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pubmed:23385844Le document en format XML
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<affiliation wicri:level="3"><nlm:affiliation>Département de Neurologie, Hôpital Pitié-Salpêtrière, Centre de Référence Maladie de Parkinson, APHP, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Département de Neurologie, Hôpital Pitié-Salpêtrière, Centre de Référence Maladie de Parkinson, APHP, Paris</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
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<author><name sortKey="Roze, Emmanuel" sort="Roze, Emmanuel" uniqKey="Roze E" first="Emmanuel" last="Roze">Emmanuel Roze</name>
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<author><name sortKey="Mesrati, Francine" sort="Mesrati, Francine" uniqKey="Mesrati F" first="Francine" last="Mesrati">Francine Mesrati</name>
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<author><name sortKey="Cognat, Emmanuel" sort="Cognat, Emmanuel" uniqKey="Cognat E" first="Emmanuel" last="Cognat">Emmanuel Cognat</name>
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<author><name sortKey="Fournier, Emmanuel" sort="Fournier, Emmanuel" uniqKey="Fournier E" first="Emmanuel" last="Fournier">Emmanuel Fournier</name>
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<author><name sortKey="Vidailhet, Marie" sort="Vidailhet, Marie" uniqKey="Vidailhet M" first="Marie" last="Vidailhet">Marie Vidailhet</name>
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<author><name sortKey="Degos, Bertrand" sort="Degos, Bertrand" uniqKey="Degos B" first="Bertrand" last="Degos">Bertrand Degos</name>
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<series><title level="j">Journal of neurology, neurosurgery, and psychiatry</title>
<idno type="eISSN">1468-330X</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Conversion Disorder (complications)</term>
<term>Conversion Disorder (physiopathology)</term>
<term>Conversion Disorder (therapy)</term>
<term>Dystonia (diagnosis)</term>
<term>Electroencephalography</term>
<term>Evoked Potentials, Motor (physiology)</term>
<term>Evoked Potentials, Somatosensory</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Mental Disorders (complications)</term>
<term>Middle Aged</term>
<term>Movement Disorders (complications)</term>
<term>Movement Disorders (physiopathology)</term>
<term>Movement Disorders (therapy)</term>
<term>Myoclonus (diagnosis)</term>
<term>Parkinsonian Disorders (diagnosis)</term>
<term>Pilot Projects</term>
<term>Prospective Studies</term>
<term>Recurrence</term>
<term>Transcranial Magnetic Stimulation (methods)</term>
<term>Treatment Outcome</term>
<term>Tremor (diagnosis)</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Conversion Disorder</term>
<term>Mental Disorders</term>
<term>Movement Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dystonia</term>
<term>Myoclonus</term>
<term>Parkinsonian Disorders</term>
<term>Tremor</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Transcranial Magnetic Stimulation</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Evoked Potentials, Motor</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Conversion Disorder</term>
<term>Movement Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Conversion Disorder</term>
<term>Movement Disorders</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Electroencephalography</term>
<term>Evoked Potentials, Somatosensory</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pilot Projects</term>
<term>Prospective Studies</term>
<term>Recurrence</term>
<term>Treatment Outcome</term>
<term>Young Adult</term>
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<front><div type="abstract" xml:lang="en">Management of psychogenic movement disorders (PMDs) is challenging for neurologists and, to date, there is no consensus about their treatment. Recent studies suggested a possible therapeutic effect of repeated transcranial magnetic stimulation (TMS) in psychogenic paralysis and tremor.</div>
</front>
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<DateCreated><Year>2013</Year>
<Month>08</Month>
<Day>07</Day>
</DateCreated>
<DateCompleted><Year>2013</Year>
<Month>09</Month>
<Day>19</Day>
</DateCompleted>
<DateRevised><Year>2013</Year>
<Month>08</Month>
<Day>07</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1468-330X</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>84</Volume>
<Issue>9</Issue>
<PubDate><Year>2013</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Journal of neurology, neurosurgery, and psychiatry</Title>
<ISOAbbreviation>J. Neurol. Neurosurg. Psychiatr.</ISOAbbreviation>
</Journal>
<ArticleTitle>Transcranial magnetic stimulation as an efficient treatment for psychogenic movement disorders.</ArticleTitle>
<Pagination><MedlinePgn>1043-6</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1136/jnnp-2012-304062</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Management of psychogenic movement disorders (PMDs) is challenging for neurologists and, to date, there is no consensus about their treatment. Recent studies suggested a possible therapeutic effect of repeated transcranial magnetic stimulation (TMS) in psychogenic paralysis and tremor.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To document the clinical impact of TMS in PMDs.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We blindly video scored symptoms of consecutive patients with PMD who were recorded before and after TMS. TMS was delivered at low frequency (0.25 Hz) over the motor cortex contralateral to symptoms.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Twenty-four patients were included. They presented with dystonia, myoclonus, tremor, Parkinsonism or stereotypies. The median duration of symptoms before TMS was 2.8 years (6 months to 30 years). The overall score of 75% of patients improved by >50% and, furthermore, the clinical benefits were sustained upon protracted follow-up (median 19.8 months). There was no correlation between improvement and duration of symptoms before TMS.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">TMS is a therapeutic option for PMDs, including chronic PMDs.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Garcin</LastName>
<ForeName>Béatrice</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Département de Neurologie, Hôpital Pitié-Salpêtrière, Centre de Référence Maladie de Parkinson, APHP, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Roze</LastName>
<ForeName>Emmanuel</ForeName>
<Initials>E</Initials>
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<Author ValidYN="Y"><LastName>Mesrati</LastName>
<ForeName>Francine</ForeName>
<Initials>F</Initials>
</Author>
<Author ValidYN="Y"><LastName>Cognat</LastName>
<ForeName>Emmanuel</ForeName>
<Initials>E</Initials>
</Author>
<Author ValidYN="Y"><LastName>Fournier</LastName>
<ForeName>Emmanuel</ForeName>
<Initials>E</Initials>
</Author>
<Author ValidYN="Y"><LastName>Vidailhet</LastName>
<ForeName>Marie</ForeName>
<Initials>M</Initials>
</Author>
<Author ValidYN="Y"><LastName>Degos</LastName>
<ForeName>Bertrand</ForeName>
<Initials>B</Initials>
</Author>
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<Language>eng</Language>
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<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<ArticleDate DateType="Electronic"><Year>2013</Year>
<Month>02</Month>
<Day>05</Day>
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<MedlineJournalInfo><Country>England</Country>
<MedlineTA>J Neurol Neurosurg Psychiatry</MedlineTA>
<NlmUniqueID>2985191R</NlmUniqueID>
<ISSNLinking>0022-3050</ISSNLinking>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003291" MajorTopicYN="N">Conversion Disorder</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
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<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001523" MajorTopicYN="N">Mental Disorders</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009069" MajorTopicYN="N">Movement Disorders</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
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<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D020734" MajorTopicYN="N">Parkinsonian Disorders</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
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</MeshHeading>
<MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012008" MajorTopicYN="N">Recurrence</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D050781" MajorTopicYN="N">Transcranial Magnetic Stimulation</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014202" MajorTopicYN="N">Tremor</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Dystonia</Keyword>
<Keyword MajorTopicYN="N">Hysteria</Keyword>
<Keyword MajorTopicYN="N">Myoclonus</Keyword>
<Keyword MajorTopicYN="N">Tremor</Keyword>
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<affiliations><list><country><li>France</li>
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<settlement><li>Paris</li>
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<tree><noCountry><name sortKey="Cognat, Emmanuel" sort="Cognat, Emmanuel" uniqKey="Cognat E" first="Emmanuel" last="Cognat">Emmanuel Cognat</name>
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<name sortKey="Fournier, Emmanuel" sort="Fournier, Emmanuel" uniqKey="Fournier E" first="Emmanuel" last="Fournier">Emmanuel Fournier</name>
<name sortKey="Mesrati, Francine" sort="Mesrati, Francine" uniqKey="Mesrati F" first="Francine" last="Mesrati">Francine Mesrati</name>
<name sortKey="Roze, Emmanuel" sort="Roze, Emmanuel" uniqKey="Roze E" first="Emmanuel" last="Roze">Emmanuel Roze</name>
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<country name="France"><region name="Île-de-France"><name sortKey="Garcin, Beatrice" sort="Garcin, Beatrice" uniqKey="Garcin B" first="Béatrice" last="Garcin">Béatrice Garcin</name>
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