Advertisement
Research Article| Volume 310, ISSUE 1-2, P163-165, November 15, 2011

Psychogenic parkinsonism

Published:April 04, 2011DOI:https://doi.org/10.1016/j.jns.2011.03.019

      Abstract

      Parkinsonism can be psychogenic, and psychogenic parkinsonism is about 10% of psychogenic movement disorder patients. Patients can present with any feature or combination of features of organic Parkinson's disease. There are clinical clues that can lead to the correct diagnosis, and laboratory testing with clinical neurophysiology or DAT (dopamine transporter) scanning can be helpful as well. Patients may have both organic Parkinson's disease and psychogenic parkinsonism, and this might be considered a psychologically induced aggravation of the organic disorder.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of the Neurological Sciences
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      1. Psychogenic Movement Disorders: Neurology and Neuropsychiatry..
        in: Hallett M. Fahn S. Jankovic J. Lang A.E. Cloninger C.R. Yudofsky S.C. Neurology and Neuropsychiatry. AAN Press. Lippincott Williams & Wilkins, Philadelphia2006
        • Gupta A.
        • Lang A.E.
        Psychogenic movement disorders.
        Curr. Opin. Neurol. 2009; 22: 430-436
        • Nowak D.A.
        • Fink G.R.
        Psychogenic movement disorders: aetiology, phenomenology, neuroanatomical correlates and therapeutic approaches.
        Neuroimage. 2009; 47: 1015-1025
        • Hallett M.
        Physiology of psychogenic movement disorders.
        J. Clin. Neurosci. 2010; 17: 959-965
        • Voon V.
        • Brezing C.
        • Gallea C.
        • et al.
        Emotional stimuli and motor conversion disorder.
        Brain. 2010; 133: 1526-1536
        • Lang A.E.
        • Koller W.C.
        • Fahn S.
        Psychogenic parkinsonism.
        Arch. Neurol. 1995; 52: 802-810
        • Miyasaki J.M.
        • Sa D.S.
        • Galvez-Jimenez N.
        • Lang A.E.
        Psychogenic movement disorders.
        Can. J. Neurol. Sci. 2003; 30: S94-S100
        • Factor S.A.
        • Podskalny G.D.
        • Molho E.S.
        Psychogenic movement disorders: frequency, clinical profile, and characteristics.
        J. Neurol. Neurosurg. Psychiatry. 1995; 59: 406-412
        • Kim Y.J.
        • Pakiam A.S.
        • Lang A.E.
        Historical and clinical features of psychogenic tremor: a review of 70 cases.
        Can. J. Neurol. Sci. 1999; 26: 190-195
        • Deuschl G.
        • Koster B.
        • Lucking C.H.
        • Scheidt C.
        Diagnostic and pathophysiological aspects of psychogenic tremors.
        Mov. Disord. 1998; 13: 294-302
        • Zeuner K.E.
        • Shoge R.O.
        • Goldstein S.R.
        • Dambrosia J.M.
        • Hallett M.
        Accelerometry to distinguish psychogenic from essential or parkinsonian tremor.
        Neurology. 2003; 61: 548-550
        • McAuley J.
        • Rothwell J.
        Identification of psychogenic, dystonic, and other organic tremors by a coherence entrainment test.
        Mov. Disord. 2004; 19: 253-267
        • O'Suilleabhain P.E.
        • Matsumoto J.Y.
        Time-frequency analysis of tremors.
        Brain. 1998; 121: 2127-2134
        • Agostino R.
        • Berardelli A.
        • Formica A.
        • Stocchi F.
        • Accornero N.
        • Manfredi M.
        Analysis of repetitive and nonrepetitive sequential arm movements in patients with Parkinson's disease.
        Mov. Disord. 1994; 9: 311-314
        • de la Fuente-Fernandez R.
        • Ruth T.J.
        • Sossi V.
        • Schulzer M.
        • Calne D.B.
        • Stoessl A.J.
        Expectation and dopamine release: mechanism of the placebo effect in Parkinson's disease.
        Science. 2001; 293: 1164-1166
        • Benaderette S.
        • Zanotti Fregonara P.
        • Apartis E.
        • et al.
        Psychogenic parkinsonism: a combination of clinical, electrophysiological, and [(123)I]-FP-CIT SPECT scan explorations improves diagnostic accuracy.
        Mov. Disord. 2006; 21: 310-317
        • Felicio A.C.
        • Godeiro-Junior C.
        • Moriyama T.S.
        • et al.
        Degenerative parkinsonism in patients with psychogenic parkinsonism: a dopamine transporter imaging study.
        Clin. Neurol. Neurosurg. 2010; 112: 282-285
        • Tolosa E.
        • Coelho M.
        • Gallardo M.
        DAT imaging in drug-induced and psychogenic parkinsonism.
        Mov. Disord. 2003; 18: S28-S33
        • Onofrj M.
        • Bonanni L.
        • Manzoli L.
        • Thomas A.
        Cohort study on somatoform disorders in Parkinson disease and dementia with Lewy bodies.
        Neurology. 2010; 74: 1598-1606