A case of psychogenic movement disorders: dark side of neurology and neuropsychiatry/Bir psikojenik hareket bozuklugu olgusu: noroloji ve noropsikiyatrinin karanlik yuzu

Our aim was to describe a patient with psychogenic movement disorder (PMD) who presented with tremor dominant involuntary movements, as well as to emphasize the clinical features important for establishing a correct diagnosis. A 48-year-old man presented to our outpatient neurology clinic with gait and speech disturbance. He had jerky, tremor-like involuntary movements occurring during gait, voluntary movements and/or at rest. The involuntary movements of the patient, who benefited from risperidone treatment and supportive interviews, substantially disappeared. Since PMDs are complex disorders, a multidisciplinary approach with cooperation of neurologistand psychiatrist is needed for proper diagnoses and treatment. (Archives of Neuropsychiatry 2012; 49:235-237) Key words: Involuntary movements, gait disturbance, factitious disorders, psychogenic movement disorders Bu yazida, baskin tremor klinigi ile karismiza cikan bir psikojenik hareket bozuklugu (PHB) olgusunun tartisilmasi ve dogru tani koymamiza yardimci olacak klinik ipuclarinin vurgulanmasi amaclanmistir. Kirk sekiz yasinda erkek hasta yuruyus ve konusma bozuklugu ile noroloji poliklinigimize basvurdu. Yuruyus, istemli hareket ve dinlenme sirasinda ortaya cikabilen sicrayici, tremor benzeri istemsiz hareketleri mevcuttu. Izlem surecinde hastada yapay bozukluk tanisi dugunuldu ve PHB olarak degerlendirildi. Risperidon tedavisi ve destekleyici gorusmelerden anlamli yarar goren hastanin istemsiz hareketlerinin kayboldugu goruldu. PHB kompleks bir bozukluktur. Dogru tani koyarak uygun tedaviyi belirlemek icin noroloji ve psikiyatri uzmanlarinin siki isbirligi ile birlikte, multidisipliner bir yaklasim ve sik izlem gereklidir. (Noropsikiyatri Arsivi 2012; 49:235-237) Anahtar kelimeler: Istemsiz hareketler, yuruyus bozuklugu, yapay bozukluk, pskojenik hareket bozuklugu.