A Rare Presentation of Functional Movement Disorder Mimicking Normal Pressure Hydrocephalus.

Asian journal of neurosurgery Pub Date : 2024-06-21 eCollection Date: 2024-06-01 DOI:10.1055/s-0044-1779514
Halil Onder, Aycan Cemil Ulker, Selcuk Comoglu
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Abstract

Herein, we describe a 55-year-old female patient with a functional movement disorder (FMD) who presented with normal pressure hydrocephalus (NPH)-like clinic. The neuroimaging data and positive response to the tap test initially suggested NPH. However, a detailed investigation of the clinic features yielded a final diagnosis of FMD. Via the presentation of this patient, we expand the phenomenology of FMD. To our knowledge, this is the first presentation of a patient with FMD mimicking NPH. Therefore, we think this rare illustration is interesting and may provide valuable perspectives for clinical practice.

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一种罕见的模仿正常压力脑积水的功能性运动障碍。
在此,我们描述了一名 55 岁的女性患者,她患有功能性运动障碍(FMD),并出现了类似于正常压力脑积水(NPH)的临床症状。神经影像学数据和拍击试验的阳性反应最初提示患者患有 NPH。然而,对临床特征进行详细调查后,最终诊断为 FMD。通过对该患者的描述,我们扩展了 FMD 的现象学。据我们所知,这是第一例模拟 NPH 的 FMD 患者。因此,我们认为这个罕见的病例非常有趣,可能会为临床实践提供有价值的视角。
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