A Case of Chronic Functional Parkinsonism Treated Over 10 Years for the Diagnosis of Juvenile Parkinsonism

dc.contributor.authorBulut, Necati Serkut
dc.contributor.authorYorguner, Nese
dc.contributor.authorCarkaxhiu-Bulut, Gresa
dc.contributor.authorTunçer, Emine Nese
dc.date.accessioned2024-07-12T21:40:08Z
dc.date.available2024-07-12T21:40:08Z
dc.date.issued2021en_US
dc.department[Belirlenecek]en_US
dc.description.abstractFunctional (psychogenic) movement disorders (FMD) constitute a cluster of heterogeneous diagnoses involving motor symptoms that cannot be explained by organic pathology and are often associated with underlying psychological problems. In psychiatry, patients with FMD are often placed within the scope of somatoform disorders and conversion disorders. Functional Parkinsonism (FP) is a rare form of FMD seen in 1.5% of all patients presenting with symptoms of parkinsonism. Although almost all symptoms of parkinsonism can be present in FP, clinical features such as sudden onset and a non-progressive course, inconsistent response to pharmacotherapy, and atypical findings in neurological examination are considered as important clues of psychogenic aetiology. Limited data in the literature on FP indicate that the average age of onset is between 37-53 years of age, whereas the average onset age of Idiopathic Parkinson's Disease (IPD) is around 60; and Juvenile Parkinsonism, a rare condition presenting before the age of 21, is often familial and more closely related to genetic mutations. Here, we present the case of a female patient, who, after the diagnosis of Juvenile Parkinsonism at the age of 17, had been treated with antiparkinsonian medications for about 14 years in the neurology clinic. Even though the age of onset of this case was far earlier than expected for both IPD and FP and the symptoms became chronic despite close monitoring, it is believed that this case is a striking example for the importance of the recognition of FP and early intervention.en_US
dc.identifier.doi10.5080/u25540
dc.identifier.endpage290en_US
dc.identifier.issn1300-2163
dc.identifier.issue4en_US
dc.identifier.pmid34964104en_US
dc.identifier.scopus2-s2.0-85123054070en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage286en_US
dc.identifier.trdizinid516384en_US
dc.identifier.urihttps://doi.org/10.5080/u25540
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/516384
dc.identifier.urihttps://hdl.handle.net/20.500.12415/7159
dc.identifier.volume32en_US
dc.identifier.wosWOS:000770357100010en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isotren_US
dc.publisherTurkiye Sinir Ve Ruh Sagligi Dernegien_US
dc.relation.ispartofTurk Psikiyatri Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY05026
dc.subjectMovement Disordersen_US
dc.subjectConversion Disorderen_US
dc.subjectJuvenile Parkinsonismen_US
dc.subjectSomatoform Disordersen_US
dc.titleA Case of Chronic Functional Parkinsonism Treated Over 10 Years for the Diagnosis of Juvenile Parkinsonismen_US
dc.typeArticle
dspace.entity.typePublication

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