A Case of Psychogenic Movement Disorders: Dark Side of Neurology and Neuropsychiatry

Our aim was to describe a patient with psychogenic movement disorder (PMD) who presented with tremor dominant involuntary movements, as well as to emphasize the clinical features important for establishing a correct diagnosis. A 48-year-old man presented to our outpatient neurology clinic with gait and speech disturbance. He had jerky, tremor-like involuntary movements occurring during gait, voluntary movements and/or at rest. The involuntary movements of the patient, who benefited from risperidone treatment and supportive interviews, substantially disappeared. Since PMDs are complex disorders, a multidisciplinary approach with cooperation of neurologistand psychiatrist is needed for proper diagnoses and treatment. (Archives of Neuropsychiatry 2012; 49: 235-237)