Functional parkinsonism
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Functional parkinsonism. This accounts for 1.5% of Parkinsonism. Fully referenced neurology checklist.
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
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Characteristics of rigidity
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Characteristics of bradykinesia
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Characteristics of arm swing
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Other features
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References
- Jankovic J. Diagnosis and treatment of psychogenic parkinsonism. JNNP 2011; 82:1300-1303.
- Sage JI, Mark MH. Psychogenic parkinsonism: clinical spectrum and diagnosis. Ann Clin Psychiatry 2015; 27:33-37.
- Hallett M. Psychogenic parkinsonism. J Neurol Sci 2011; 310:163-165.
- Lang AE, Koller WC, Fahn S. Psychogenic parkinsonism. Arch Neurol 1995; 52:802-810.
- 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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