Functional parkinsonism

Evidence-based neurology checklist on functional parkinsonism: General features This accounts for 1.5% of Parkinsonism It accounts for 10% of psychogenic movement disorders The gender ratio is equal The presentation is with one or more features of Parkinsonism The course is fluctuating with…

General features

  • This accounts for 1.5% of Parkinsonism
  • It accounts for 10% of psychogenic movement disorders
  • The gender ratio is equal
  • The presentation is with one or more features of Parkinsonism
  • The course is fluctuating with remissions
  • It may improve spontaneously or to placebo
  • It may improve with antidepressants
  • There is early disability

Characteristics of tremor

Characteristics of rigidity

Characteristics of bradykinesia

Characteristics of arm swing

Other features

References

  1. Jankovic J. Diagnosis and treatment of psychogenic parkinsonism. JNNP 2011; 82:1300-1303.
  2. Sage JI, Mark MH. Psychogenic parkinsonism: clinical spectrum and diagnosis. Ann Clin Psychiatry 2015; 27:33-37.
  3. Hallett M. Psychogenic parkinsonism. J Neurol Sci 2011; 310:163-165.
  4. Lang AE, Koller WC, Fahn S. Psychogenic parkinsonism. Arch Neurol 1995; 52:802-810.
  5. Baizabal-Carvallo JF, Fekete R. Recognizing uncommon presentations of psychogenic (functional) movement disorders. Tremor Other Hyperkinet Mov (N Y) 2015; 5:279.
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