La maladie de Parkinson en France (serveur d'exploration)

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Transcranial magnetic stimulation as an efficient treatment for psychogenic movement disorders.

Identifieur interne : 000614 ( PubMed/Checkpoint ); précédent : 000613; suivant : 000615

Transcranial 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 Degos

Source :

RBID : pubmed:23385844

English descriptors

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:23385844

Le document en format XML

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<nlm:affiliation>Département de Neurologie, Hôpital Pitié-Salpêtrière, Centre de Référence Maladie de Parkinson, APHP, Paris, France.</nlm:affiliation>
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<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>
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<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>
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<term>Conversion Disorder</term>
<term>Mental Disorders</term>
<term>Movement Disorders</term>
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<term>Dystonia</term>
<term>Myoclonus</term>
<term>Parkinsonian Disorders</term>
<term>Tremor</term>
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<term>Transcranial Magnetic Stimulation</term>
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<term>Evoked Potentials, Motor</term>
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<term>Conversion Disorder</term>
<term>Movement Disorders</term>
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<term>Conversion Disorder</term>
<term>Movement Disorders</term>
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<term>Aged</term>
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<term>Middle Aged</term>
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<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>
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<Month>08</Month>
<Day>07</Day>
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<Year>2013</Year>
<Month>09</Month>
<Day>19</Day>
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<Month>08</Month>
<Day>07</Day>
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<ISSN IssnType="Electronic">1468-330X</ISSN>
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<Volume>84</Volume>
<Issue>9</Issue>
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<Year>2013</Year>
<Month>Sep</Month>
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<Title>Journal of neurology, neurosurgery, and psychiatry</Title>
<ISOAbbreviation>J. Neurol. Neurosurg. Psychiatr.</ISOAbbreviation>
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<ArticleTitle>Transcranial magnetic stimulation as an efficient treatment for psychogenic movement disorders.</ArticleTitle>
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<MedlinePgn>1043-6</MedlinePgn>
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<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>
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<MedlineTA>J Neurol Neurosurg Psychiatry</MedlineTA>
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