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Yıl:2016; Cilt: 29; Sayı: 4>> Özet
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Düşünen Adam: Psikiyatri ve Nörolojik Bilimler Dergisi; 2016;29(4):367-369
Akut serebellar sendromu taklit eden bir psikojenik hareket bozukluğu olgusu
Y Değirmenci, A Öztürk
Düzce Üniversitesi, Düzce
Psikojenik hareket bozuklukları (PHB) altta yatan herhangi bir organik etiyoloji olmaksızın ortaya çıkan farklı tiplerdeki istemsiz hareketlerdir. Tremor, spazm, distoni, parkinsonizm veya miyoklonus şeklinde görülebilirler. Bu hastalıkları organik nörolojik etiyolojilerden ayırabilmek için detaylı bir öykü ve nörolojik muayene gereklidir. PHB’nın klinik pratikte zorlayıcı bir antite olmaları nedeniyle, akut serebellar sendromu taklit eden psikojenik tremor ve yürüyüş bozukluğu olan bu olguyu, PHB’nın tanısal klinik ipuçlarının farkında olmanın, organik hastalıklardan ayırmada ve doğru tedavi uygulamadaki önemini vurgulamak amacıyla sunduk.
A case of psychogenic movement disorder mimicking acute cerebellar syndrome
Psychogenic movement disorders (PMDs) are involuntary movements of various kinds without any underlying organic etiology. They can occur as tremor, spasm, dystonia, parkinsonism or myoclonus. A detailed history and neurological examination is essential to differentiate these disorders from organic neurological etiologies. Since PMDs are challenging entities in clinical practice, we presented this case of psychogenic tremor and gait disorder mimicking acute cerebellar syndrome in order to emphasize the importance of diagnostic clinical clues of PMDs in the differentiation of organic diseases, and to give accurate treatment

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