Functional (Psychogenic) Movement Disorders Presenting During Sleep

Tremor Other Hyperkinet Mov (N Y). 2021 Feb 22:11:8. doi: 10.5334/tohm.571.

Abstract

Background: Functional (psychogenic) movement disorders are involuntary movements that seems to originate from activation of voluntary motor pathways in the brain. The movements typically present during the waking hours with variable frequency.

Case presentation: We present the case of a 24-year-old woman with FMDs during the waking state, but also during stages 1 and 2 of non-REM sleep and REM sleep, recorded with polysomnography. Such movements caused arousal leading to excessive daytime sleepiness and fatigue.

Conclusions: FMDs may disrupt sleep causing day time somnolence, adding morbidity to the disorder.

Keywords: Functional movement disorder; dystonia; polysomnography; sleep; trauma-associated sleep disorder.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Disorders of Excessive Somnolence*
  • Female
  • Humans
  • Movement Disorders* / complications
  • Movement Disorders* / diagnosis
  • Polysomnography
  • Sleep, REM
  • Wakefulness
  • Young Adult