Resumen
La distonía psicógena (funcional) es una condición que representa un reto para el clínico, desde su terminología confusa hasta el tratamiento integral. Este fenómeno se presenta en pacientes con ausencia de una enfermedad neurológica o condición secundaria que explique cabalmente dicha presentación y generalmente con una comorbilidad psiquiátrica marcada.
Citas
Gupta A, Lang AE. Psychogenic movement disorders. Curr Opin Neurol. 2009;22(4):430-36. https://doi.org/doi:10.1097/WCO.0b013e32832dc169
Peckham EL, Hallett M. Psychogenic movement disorders. Neurol Clin. 2009;27(3):801-19. https://doi.org/doi:10.1016/j.ncl.2009.04.008
Mendoza-Rodríguez A, Riveira-Rodríguez C, Castrillo-Sanz A. Psychogenic movement disorders. Rev Neurol. 2009;48(Suppl 1):S49-55.
Hallett M. Psychogenic movement disorders: a crisis for neurology. Curr Neurol Neurosci Rep. 2006;6(4):269-71.
Schmerler DA, Espay AJ. Functional dystonia. Handb Clin Neurol. 2017;139:235-45. https://doi.org/doi:10.1016/B978-0-12-801772-2.00020-5.
Stone J, Zeman A, Simonotto E, Meyer M, Azuma R, Flett S, et al. FMRI in patients with motor conversion symptoms and controls with simulated weakness. Psychosom Med. 2007;69(9):961-69. https://doi.org/doi:10.1097/PSY.0b013e31815b6c14
Pareés I, Saifee TA, Kassavetis P, Kojovic M, Rubio-Agusti I, Rothwell JC. Believing is perceiving: mismatch between self-report and actigraphy in psychogenic tremor. Brain. 2012; 135(pt 1):117-23. https://doi.org/doi:10.1093/brain/awr292
Rommelfanger KS. Opinion: A role for placebo therapy in psychogenic movement disorders. Nat Rev Neurol. 2013;9(6):351-6. https://doi.org/doi:10.1038/nrneurol.2013.65
Schrag A, Trimble M, Quinn N, Bhatia K. The syndrome of fixed dystonia: an evaluation of 103 patients. Brain. 2004;127(pt 10):2360-72. https://doi.org/doi:10.1093/brain/awh262
Hallett M. Physiology of psychogenic movement disorders. J Clin Neurosci. 2010;17(8): 959-65. https://doi.org/doi:10.1016/j.jocn.2009.11.021
Morgante F, Edwards MJ, Espay AJ. Psychogenic movement disorders. Continuum (Minneap Minn). 2013;19(5):1383-96. https://doi.org/doi:10.1212/01.CON.0000436160.41071.79.
Fahn S, Williams DT. Psychogenic dystonia. Adv Neurol. 1988;50:431-55.
Poisson A, Krack P, Thobois S, Loiraud C, Serra G, Vial C, et al. History of the 'geste antagoniste' sign in cervical dystonia. J Neurol. 2012;259(8):1580-4. https://doi.org/doi:10.1007/s00415-011-6380-7
Rana AQ, Athar A. Focal dystonia of right hand with mirror movements upon use of left arm. J Coll Physicians Surg Pak. 2013;23(5):362-3. https://doi.org/doi:05.2013/JCPSP.362363
Shill H, Gerber P. Evaluation of clinical diagnostic criteria for psychogenic movement disorders. Mov Disord. 2006; 21(8):1163-8. https://doi.org/doi:10.1002/mds.20921
Lang AE, Voon V. Psychogenic movement disorders: past developments, current status, and future directions. Mov Disord. 2011;26(6):1175-86. https://doi.org/doi:10.1002/mds.23571
Espay AJ, Lang AE. Phenotype-specific diagnosis of functional (psychogenic) movement disorders. Curr Neurol Neurosci Rep. 2015;15(6):32. https://doi.org/doi:10.1007/s11910-015-0556-y
Fasano A, Valadas A, Bhatia KP, Prashanth LK, Lang AE, Munhoz RP et al. Psychogenic facial movement disorders: clinical features and associated conditions. Mov Disord. 27;2012:1544-51. https://doi.org/doi:10.1002/mds.25190
Sa DS, Mailis-Gagnon A, Nicholson K, Lang AE. Posttraumatic painful torticollis. Mov Disord. 2003;18(12):1482-91. https://doi.org/doi:10.1002/mds.10594
Stone J, Gelauff J, Carson A. A "twist in the tale": altered perception of ankle position in psychogenic dystonia. Mov Disord. 2012;27(4): 585-6. https://doi.org/doi:10.1002/mds.24069
Laub HN, Dwivedi AK, Revilla FJ, Duker AP, Pecina-Jacob C, Espay AJ. Diagnostic performance of the "huffing and puffing" sign in functional (psychogenic) movement disorders. Mov Disord Clin Pract. 2005;2(1):29-32. https://doi.org/doi:10.1002/mdc3.12102
Kranick S, Ekanayake V, Martinez V, Ameli R, Hallett M, Voon V. Psychopathology and psychogenic movement disorders. Mov Disord. 2011;26(10):1844-50. https://doi.org/doi:10.1002/mds.23830.
Ibrahim NM, Martino D, van de Warrenburg BP, Quinn NP, Bhatia KP, Brown RJ, et al. The prognosis of fixed dystonia: a follow-up study. Parkinsonism Relat Disord. 2009;15(8):592-7. https://doi.org/doi:10.1016/j.parkreldis.2009.02.010
Carella F, Ciano C, Musicco M, Scaioli V. Exteroceptive reflexes in dystonia: a study of the recovery cycle of the R2 component of the blink reflex and of the exteroceptive suppression of the contracting sternocleidomastoid muscle in blepharospasm and torticollis. Mov Disord. 1994;9(2):183-7. https://doi.org/doi:10.1002/mds.870090210
Quartarone A, Rizzo V, Morgante F. Clinical features of dystonia: a pathophysiological revisitation. Curr Opin Neurol. 2008;21(4):484-90. https://doi.org/doi:10.1097/WCO.0b013e328307bf07
Quartarone A, Rizzo V, Terranova C, Morgante F, Schneider S, Ibrahim N, et al. Abnormal sensorimotor plasticity in organic but not in psychogenic dystonia. Brain. 2009;132(Pt 10):2871-7. https://doi.org/doi:10.1093/brain/awp213
Schrag AE, Mehta AR, Bhatia KP, Brown RJ, Frackowiak RS, Trimble MR, et al. The functional neuroimaging correlates of psychogenic versus organic dystonia. Brain. 2013; 136(Pt 3):770-81. https://doi.org/doi:10.1093/brain/awt008
Espay AJ, Goldenhar LM, Voon V, Schrag A, Burton N, Lang AE, et al. Opinions and clinical practices related to diagnosing and managing patients with psychogenic movement disorders: an international survey of movement disorder society members. Mov Disord. 2009;24:1366-74. https://doi.org/doi:10.1002/mds.22618
Edwards MJ, Alonso-Canovas A, Schrag A, Bloem BR, Thompson PD, Bhatia K. Limb amputations in fixed dystonia: a form of body integrity identity disorder?. Mov Disord. 2011; 26(8) :1410-4. https://doi.org/doi:10.1002/mds.23671
Gelauff J, Stone J, Edwards M, Carson A. The prognosis of functional (psychogenic) motor symptoms: a systematic review. J Neurol Neurosurg Psychiatry. 2014;85(2) :220-6. https://doi.org/doi:10.1136/jnnp-2013-305321
Dallocchio C, Arbasino C, Klersy C, Marchioni E. The effects of physical activity on psychogenic movement disorders. Mov Disord. 2010;25(4):421-5. https://doi.org/doi:10.1002/mds.22952.
Edwards MJ, Stone J, Lang AE. From psychogenic movement disorder to functional movement disorder: it's time to change the name. Mov Disord. 2014;29(7):849-52. https://doi.org/doi:10.1002/mds.25562
Anderson KE, Gruber-Baldini AL, Vaughan CG, Reich SG, Fishman PS, Weiner WJ et al. Impact of psychogenic movement disorders versus Parkinson's on disability, quality of life, and psychopathology. Mov Disord. 2007;22(15):2204-9. https://doi.org/doi:10.1002/mds.21687
Williams DT, Ford B, Fahn S. Treatment issues in psychogenic-neuropsychiatric movement disorders. Adv Neurol.2005;96:350-63.
LaFrance WC, Keitner GI, Papandonatos GD, Blum AS, Machan JT, Ryan CE et al. Pilot pharmacologic randomized controlled trial for psychogenic nonepileptic seizures. Neurology. 2010;75(13):1166-73. https://doi.org/doi:10.1212/WNL.0b013e3181f4d5a9
Hinson VK, Weinstein S, Bernard B, Leurgans SE, Goetz CG. Singleblind clinical trial of psychotherapy for treatment of psychogenic movement disorders. Parkinsonism Relat Disord. 2006;12(3):177-180. https://doi.org/doi:10.1016/j.parkreldis.2005.10.006
Jordbru AA, Smedstad LM, Klungsoyr O, Martinsen EW. Psychogenic gait disorder: a randomized controlled trial of physical rehabilitation with one-year follow-up. J Rehabil Med. 2014;46(2):181-7. https://doi.org/doi:10.2340/16501977-1246
Czarnecki K, Thompson JM, Seime R, Geda YE, Duffy JR, Ahlskog JE. Functional movement disorders: successful treatment with a physical therapy rehabilitation protocol. Parkinsonism Relat Disord. 2012;18(3):247-51. https://doi.org/doi:10.1016/j.parkreldis.2011.10.011.
Van Nuenen BF, Wohlgemuth M, Wong Chung RE, Abdo WF, Bloem BR. Acupuncture for psychogenic movement disorders: treatment or diagnostic tool?. Mov Disord. 2007;22(9):1353-5. https://doi.org/doi:10.1002/mds.21467
Moene FC, Spinhoven P, Hoogduin KA, van Dyck R. A randomized controlled clinical trial of a hypnosis-based treatment for patients with conversion disorder, motor type. Int J Clin Exp Hypn. 2003;51(1):29-50. https://doi.org/doi:10.1076/iceh.51.1.29.14067
Stone J, Hoeritzauer I, Brown K, Carson A. Therapeutic sedation for functional (psychogenic) neurological symptoms. J Psychosom Res. 2014;76(2):165-8. https://doi.org/doi:10.1016/j.jpsychores.2013.10.003
Romito LM, Franzini A, Perani D, Carella F, Marras C, Capus L, et al. Fixed dystonia unresponsive to pallidal stimulation improved by motor cortex stimulation. Neurology. 2007; 68(11):875-6. https://doi.org/doi:10.1212/01.wnl.0000256816.83036.c9
Espay AJ, Chen R, Moro E, Lang AE. Fixed dystonia unresponsive to pallidal stimulation improved by motor cortexstimulation. Neurology 2007;69(10): 1062-3. https://doi.org/doi:10.1212/01.wnl.0000284703.21416.e8
Pollak TA, Nicholson TR, Edwards MJ, David AS. A systematic review of transcranial magnetic stimulation in the treatment of functional (conversion) neurological symptoms. J Neurol Neurosurg Psychiatry. 2014;85(2):191-7. http://dx.doi.org/10.1136/jnnp-2012-304181
Chopra P, Cooper MS. Treatment of complex regional pain syndrome (CRPS) using low dose naltrexone (LDN). J Neuroimmune Pharmacol. 2013;8(3):470-6. http://dx.doi.org/10.1007/s11481-013-9451-y
Goto S, Taira T, Horisawa S, Yokote A, Sasaki T, Okada Y. Spinal cord stimulation and intrathecal baclofen therapy: combined neuromodulation for treatment of advanced complex regional pain syndrome. Stereotact Funct Neurosurg. 2013;91(6):386-91. http://dx.doi.org/10.1159/000350022
Ellenstein A, Kranick SM, Hallett M. An update on psychogenic movement disorders. Curr Neurol Neurosci Rep. 2011;11(4):396-403. http://dx.doi.org/10.1007/s11910-011-0205-z.
Hayes MW, Graham S, Heldorf P, De Moore G, Morris JG. A video review of the diagnosis of psychogenic gait: appendix and commentary. Mov Disord. 1999;14(6):914-21.
Nowak DA, Fink GR. Psychogenic movement disorders: aetiology, phenomenology, neuroanatomical correlates and therapeutic approaches. Neuroimage. 2009;47(3):1015-25. http://dx.doi.org/10.1016/j.neuroimage.2009.04.082.

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