Psychogenic movement disorders in children

Movement Disorders : Official Journal of the Movement Disorder Society
Joseph Ferrara, Joseph Jankovic

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.

References

Sep 1, 1991·Acta Psychiatrica Scandinavica·K TomassonW Coryell
Oct 1, 1990·Developmental Medicine and Child Neurology·C SpieringsW O Renier
Nov 1, 1990·Acta Neurologica Scandinavica·T LempertT Brandt
Jan 1, 1990·Movement Disorders : Official Journal of the Movement Disorder Society·R RanawayaA Lang
Apr 1, 1988·Archives of Disease in Childhood·P Grattan-SmithP Procopis
May 1, 1986·Psychological Medicine·C D Marsden
Oct 1, 1995·Journal of Neurology, Neurosurgery, and Psychiatry·S A FactorE S Molho
Oct 1, 1994·Journal of Child Neurology·M E LancmanP A Gibson
Oct 1, 1994·Journal of Neurology, Neurosurgery, and Psychiatry·M A Ron
Jul 1, 1993·Journal of the American Academy of Child and Adolescent Psychiatry·S SrinathS Seshadri
Feb 27, 1999·European Journal of Pediatrics·A ZehariaM Mimouni
Mar 23, 1999·Archives of Pediatrics & Adolescent Medicine·E WyllieB Wolgamuth
May 17, 2001·Brain : a Journal of Neurology·P VuilleumierT Landis
Oct 20, 2001·The New England Journal of Medicine·J Jankovic
Apr 12, 2002·Journal of Psychosomatic Research·Berna Pehlivantürk, Fatih Unal
Apr 24, 2003·Pediatrics International : Official Journal of the Japan Pediatric Society·Eyüp S ErcanBaybars VeznedaroGlu
Nov 26, 2003·Movement Disorders : Official Journal of the Movement Disorder Society·Sibel OzekmekçiCengiz Yalçinkaya
Jan 24, 2004·Pediatric Neurology·Douglas B Kirsch, Jonathan W Mink
May 14, 2004·CNS Drugs·Madhavi Thomas, Joseph Jankovic
Feb 24, 2005·Journal of the American Academy of Child and Adolescent Psychiatry·Joslyn D CassadyWilliam Schaffner
Jul 8, 2005·Movement Disorders : Official Journal of the Movement Disorder Society·Esther CuboJoanne Wuu
Aug 6, 2005·The Journal of Nervous and Mental Disease·Karin RoelofsKees A L Hoogduin
Oct 7, 2005·Journal of Neurology·D Dressler, R Benecke
Oct 15, 2005·BMJ : British Medical Journal·Jon StoneMichael Sharpe
Oct 27, 2005·Movement Disorders : Official Journal of the Movement Disorder Society·Carlos Portera-CailliauStanley Fahn
Feb 2, 2006·Psychosomatic Medicine·Robert J WaldingerDavid K Ahern
May 11, 2006·Movement Disorders : Official Journal of the Movement Disorder Society·Holly Shill, Paula Gerber
Jun 2, 2006·Parkinsonism & Related Disorders·Madhavi ThomasJoseph Jankovic
Jan 2, 2007·Journal of the American Academy of Child and Adolescent Psychiatry·Kasia KozlowskaJohn Varghese
Feb 7, 2007·Brain : a Journal of Neurology·Allison BrashearLaurie J Ozelius
Apr 27, 2007·Journal of Tropical Pediatrics·Jayant K GhoshBal Dev Bhatia
May 23, 2007·Movement Disorders : Official Journal of the Movement Disorder Society·Michael S Okun, Peter J Koehler
Jul 3, 2007·Journal of the Neurological Sciences·Christopher KenneyJoseph Jankovic
Aug 31, 2007·The Annals of Otology, Rhinology, and Laryngology·Scott A PowellTapan A Padhya
Sep 19, 2007·Movement Disorders : Official Journal of the Movement Disorder Society·Karen E AndersonLisa M Shulman
Nov 10, 2007·Psychosomatic Medicine·Jon StoneMichael Sharpe
Mar 4, 2008·Developmental Medicine and Child Neurology·M A S AhmedFrank M C Besag

❮ Previous
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Citations

Jun 12, 2009·Current Neurology and Neuroscience Reports·Vicki Shanker, Susan B Bressman
Apr 7, 2011·Current Treatment Options in Neurology·Patricia I Rosebush, Michael F Mazurek
Dec 14, 2011·The Neurologist·Maria Cruz Rodriguez-OrozOriol de Fabregues
Mar 11, 2010·Clinical Neuropharmacology·Urszula AdamiakBarbara Gawronska-Szklarz
Aug 24, 2012·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Owen B White, Joanne Fielding
Feb 26, 2014·Current Treatment Options in Neurology·Jeannette M GelauffJon Stone
Nov 22, 2013·Journal of Neurology, Neurosurgery, and Psychiatry·José Fidel Baizabal-Carvallo, Joseph Jankovic
May 1, 2010·Journal of Movement Disorders·Jung Ho Ryu, Jong Sam Baik
Nov 30, 2014·Neurologic Clinics·Joseph Jankovic
Nov 30, 2014·Neurologic Clinics·Mary Ann Thenganatt, Joseph Jankovic
Jun 23, 2009·Current Opinion in Neurology·Amitabh Gupta, Anthony E Lang
Jan 14, 2016·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Nitish KamblePramod Kumar Pal
Nov 1, 2011·Seminars in Pediatric Neurology·Harvey S Singer
Aug 15, 2009·Lancet Neurology·Joseph Jankovic
Jun 27, 2009·Neurologic Clinics·Elizabeth L Peckham, Mark Hallett
Jun 27, 2009·Neurologic Clinics·Joseph Jankovic
Sep 29, 2011·Developmental Medicine and Child Neurology·Hilla Ben-PaziRuth S Shalev
Oct 22, 2013·Annals of the New York Academy of Sciences·Jonathan W Mink
Mar 13, 2012·Movement Disorders : Official Journal of the Movement Disorder Society·Carlotta CanaveseNardo Nardocci
Feb 19, 2010·Developmental Medicine and Child Neurology·Russell C DaleKasia Kozlowska
Jun 1, 2011·Movement Disorders : Official Journal of the Movement Disorder Society·Anthony E Lang, Valerie Voon
Jul 22, 2015·Journal of Neurology·José Fidel Baizabal-Carvallo, Joseph Jankovic
Sep 25, 2014·Arquivos de neuro-psiquiatria·Rosana H ScolaLineu C Werneck
Oct 10, 2014·Journal of Child Neurology·Jatinder Singh Goraya
Jul 6, 2014·Journal of Child Neurology·Paul E Youssef, Kenneth J Mack
Sep 4, 2009·Paediatric Drugs·Joseph Ferrara, Joseph Jankovic
Jul 30, 2019·Continuum : Lifelong Learning in Neurology·Mary Ann Thenganatt, Joseph Jankovic
Jun 2, 2018·Case Reports in Orthopedics·Ichiro Tonogai, Koichi Sairyo
Jul 18, 2017·Movement Disorders Clinical Practice·Sanjay Pandey, Arun Koul
Feb 20, 2020·Movement Disorders Clinical Practice·José Fidel Baizabal-Carvallo, Joseph Jankovic
Sep 24, 2020·Tremor and Other Hyperkinetic Movements·Anumeha Mishra, Sanjay Pandey
Jan 13, 2019·European Journal of Pediatrics·Susan R Harris
Aug 4, 2016·Movement Disorders Clinical Practice·Marina Sanchez AbrahamOscar S Gershanik
Nov 6, 2020·Developmental Medicine and Child Neurology·Rick BrandsmaUNKNOWN Groningen Movement Disorder Expertise Centre
Sep 29, 2020·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Kempaiah RakeshPramod Kumar Pal
Dec 8, 2020·Frontiers in Neurology·Anjali Chouksey, Sanjay Pandey
Feb 23, 2021·Frontiers in Neurology·Lucy FruchtChristopher D Stephen
Mar 24, 2020·Epilepsy & Behavior : E&B·Mohammad Amir Rather, Andrea E Cavanna

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