Psychogenic Movement Disorders: Gait Is a Give‐Away

The aim of this article is to point out that an incongruity of gait disorder (either in relation to the presenting movement disorder or incongruity with any type of organic gait disorder) is a useful clue in diagnosing psychogenic movement disorders. To illustrate this, we present a case series of p...

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Bibliographic Details
Published in:Movement disorders clinical practice (Hoboken, N.J.) N.J.), 2014-06, Vol.1 (2), p.110-111
Main Authors: Balint, Bettina, Winsen, Lisa M.L., Bhatia, Kailash P., Bloem, Bas R.
Format: Article
Language:English
Subjects:
assessment
Case Series
differential diagnosis
gait
psychogenic movement disorders
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Summary:The aim of this article is to point out that an incongruity of gait disorder (either in relation to the presenting movement disorder or incongruity with any type of organic gait disorder) is a useful clue in diagnosing psychogenic movement disorders. To illustrate this, we present a case series of patients with various types of psychogenic movement disorders (rest tremor, myoclonus, dystonia, and chorea). Incongruity of the walking pattern with the presenting movement disorder was a revealing diagnostic clue in all cases. “Incongruity” is currently a main plank in the diagnosis of psychogenic conditions. Our series emphasizes that incongruity of the gait pattern may be the most important sign in a patient where it is otherwise difficult to establish whether the movement disorder is congruous or incongruous with an organic disorder.
ISSN:2330-1619
2330-1619
DOI:10.1002/mdc3.12031