Functional movement disorders

被引：15

作者：

Galli, S. ^{[1
]}

Bereau, M. ^{[1
]}

Magnin, E. ^{[1
]}

Moulin, T. ^{[1
]}

Aybek, S. ^{[2
,3
]}

机构：

[1] Univ Hosp Besancon, Dept Neurol, F-25030 Besancon, France

[2] Univ Hosp Bern, Dept Neurol, Bern, Switzerland

[3] Univ Bern, Bern, Switzerland

来源：

REVUE NEUROLOGIQUE | 2020年 / 176卷 / 04期

关键词：

Functional neurological disorder; Functional movement disorder; Psychogenic; Conversion disorder; MEDICALLY UNEXPLAINED SYMPTOMS; PSYCHOGENIC MOTOR SYMPTOMS; CLINICAL-FEATURES; CONVERSION DISORDER; DIAGNOSTIC-CRITERIA; GAIT DISORDERS; LIFE-EVENTS; NEUROLOGY; DYSTONIA; SIGN;

D O I：

10.1016/j.neurol.2019.08.007

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Functional movement disorders (FMD) represent a complex and disabling entity characterized by a broad range of clinical symptoms not explained by a classical neurological disease. In 2013, the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) added a clinical criterion based on incongruence and inconsistency, supported by recent literature highlighting the role of "positive clinical signs''. These clinical signs allow a "rule-in'' procedure in making a diagnosis of FMD so that the diagnosis is no longer a "rule-out'' or "by default'' diagnosis made after exclusion of other neurological conditions. This review summarizes current evidence on common clinical features and highlights bedside signs in FMD, such as tremor, dystonia, myoclonus and parkinsonism. Tics, chorea and hemiballism are also briefly discussed. (C) 2019 Elsevier Masson SAS. All rights reserved.

引用

页码：244 / 251

页数：8

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