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A psychogenic dystonia perfect responsive to antidepressant treatment.
Author(s) -
Volkan Solmaz,
Dürdane Aksoy,
Betül Çevik,
Semiha Kurt,
Elmas Pekdaş,
Sema İnanır
Publication year - 2014
Publication title -
çağdaş tıp dergisi
Language(s) - English
Resource type - Journals
eISSN - 2146-6009
pISSN - 2146-4189
DOI - 10.5455/ctd.2014-117
Subject(s) - medicine , psychogenic disease , antidepressant , dystonia , gynecology , psychotherapist , physical medicine and rehabilitation , psychiatry , psychology , anxiety
After ruling out of organic causes, movement disorders are named as psychogenic movement disorders, it can mimic perfectly Organic movement disorders, but with a good history, clinical observations and detailed examination is very helpful in the diagnosis of this disease. In here we will present a 15 years old male patient, he was complaining of urinary incontinence at night, emerging dystonic posture especially in crowded environments, eating, and during activities that require attention, for 5 years. Self and family history was unremarkable. His physical and neurological examination was normal except for dystonic posture esipecially writing and when doing skilled jobs. All the tests were normal for the differential diagnosis. Taking into account the patient\s clinical findings and cilinical test, the patient was diagnosed as psychogenic dystonia. He gave a very good response to treatment with antidepressants and psychotherapy. As a result, in clinical practice both the diagnostic and therapeutic challenges the psychogenic movement disorders is an important problem, and to get rid of the negative effects of unnecessary diagnostic test and side efects of treatment, you need to keep in mind this diagnosis. [J Contemp Med 2014; 4(1.000): 29-31

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