"[8ACC72586C26]" . "Psychogenn\u00ED poruchy ch\u016Fze"@cs . . "functional disorders; psychogenic; movement disorders"@en . "100892" . "I, V" . "Poruchy ch\u016Fze pat\u0159\u00ED mezi nej\u010Dast\u011Bj\u0161\u00ED projevy psychogenn\u00EDch poruch hybnosti, nozologick\u00E9 oblasti na pomez\u00ED neurologie a psychiatrie, kde se \u010Dasto l\u00E9ka\u0159 i pacient ocitaj\u00ED v riziku diagnostick\u00FDch a terapeutick\u00FDch chyb. C\u00EDlem tohoto p\u0159ehledu je uk\u00E1zat na typick\u00E9 projevy, zd\u016Fraznit diagnostick\u00E9 z\u00E1sady a nazna\u010Dit terapeutick\u00E9 mo\u017Enosti u psychogenn\u00EDch poruch hybnosti se zvl\u00E1\u0161tn\u00EDm zam\u011B\u0159en\u00EDm na poruchy ch\u016Fze. Mezi typick\u00E9 vzorce psychogenn\u00EDch poruch ch\u016Fze pat\u0159\u00ED 1. ch\u016Fze s poruchou rovnov\u00E1hy (o inadekv\u00E1tn\u011B \u0161irok\u00E9 b\u00E1zi, \u010Dasto s paradoxn\u00EDm zlep\u0161en\u00EDm p\u0159i zkou\u0161ce tandemov\u00E9 ch\u016Fze, p\u0159\u00EDpadn\u011B spont\u00E1nn\u00ED provazochodeck\u00E1 ch\u016Fze nebo ch\u016Fze r\u00E1zu ast\u00E1zie-ab\u00E1zie); 2. pseudoparetick\u00E1 ch\u016Fze nebo 3. extr\u00E9mn\u00ED zpomalen\u00ED ch\u016Fze. Z\u00E1rove\u0148 b\u00FDvaj\u00ED vyj\u00E1d\u0159eny obecn\u00E9 rysy psychogenn\u00EDch poruch hybnosti jako inkonzistence p\u0159\u00EDznak\u016F v \u010Dase, inkongruence se zn\u00E1m\u00FDmi obrazy organicky podm\u00EDn\u011Bn\u00FDch poruch hybnosti, vysok\u00E1 energetick\u00E1 n\u00E1ro\u010Dnost pohybu a charakteristick\u00E9 zm\u011Bny p\u0159\u00EDznak\u016F p\u0159i zm\u011Bn\u00E1ch zam\u011B\u0159en\u00ED pozornosti. Diagn\u00F3za psychogenn\u00ED poruchy hybnosti je klinick\u00E1 a je pln\u011B v kompetenci neurologa, kter\u00FD by nem\u011Bl alibisticky opakovat negativn\u00ED pomocn\u00E1 vy\u0161et\u0159en\u00ED k %22vylou\u010Den\u00ED organicity%22 ani o\u010Dek\u00E1vat, \u017Ee diagn\u00F3zu u\u010Din\u00ED a pacientovi sd\u011Bl\u00ED jin\u00FD odborn\u00EDk. \u00DAsp\u011B\u0161nost l\u00E9\u010Debn\u00E9ho postupu u psychogenn\u00EDch poruch hybnosti kles\u00E1 s d\u00E9lkou trv\u00E1n\u00ED obt\u00ED\u017E\u00ED a s rozvojem jejich soci\u00E1ln\u00EDch d\u016Fsledk\u016F." . "3"^^ . . . "RIV/00064165:_____/13:10159054" . . "4" . . "2"^^ . "Psychogenn\u00ED poruchy ch\u016Fze"@cs . . "2"^^ . "Psychogenic disorders of gait"@en . "1213-1814" . "R\u016F\u017Ei\u010Dka, Ev\u017Een" . . "Poruchy ch\u016Fze pat\u0159\u00ED mezi nej\u010Dast\u011Bj\u0161\u00ED projevy psychogenn\u00EDch poruch hybnosti, nozologick\u00E9 oblasti na pomez\u00ED neurologie a psychiatrie, kde se \u010Dasto l\u00E9ka\u0159 i pacient ocitaj\u00ED v riziku diagnostick\u00FDch a terapeutick\u00FDch chyb. C\u00EDlem tohoto p\u0159ehledu je uk\u00E1zat na typick\u00E9 projevy, zd\u016Fraznit diagnostick\u00E9 z\u00E1sady a nazna\u010Dit terapeutick\u00E9 mo\u017Enosti u psychogenn\u00EDch poruch hybnosti se zvl\u00E1\u0161tn\u00EDm zam\u011B\u0159en\u00EDm na poruchy ch\u016Fze. Mezi typick\u00E9 vzorce psychogenn\u00EDch poruch ch\u016Fze pat\u0159\u00ED 1. ch\u016Fze s poruchou rovnov\u00E1hy (o inadekv\u00E1tn\u011B \u0161irok\u00E9 b\u00E1zi, \u010Dasto s paradoxn\u00EDm zlep\u0161en\u00EDm p\u0159i zkou\u0161ce tandemov\u00E9 ch\u016Fze, p\u0159\u00EDpadn\u011B spont\u00E1nn\u00ED provazochodeck\u00E1 ch\u016Fze nebo ch\u016Fze r\u00E1zu ast\u00E1zie-ab\u00E1zie); 2. pseudoparetick\u00E1 ch\u016Fze nebo 3. extr\u00E9mn\u00ED zpomalen\u00ED ch\u016Fze. Z\u00E1rove\u0148 b\u00FDvaj\u00ED vyj\u00E1d\u0159eny obecn\u00E9 rysy psychogenn\u00EDch poruch hybnosti jako inkonzistence p\u0159\u00EDznak\u016F v \u010Dase, inkongruence se zn\u00E1m\u00FDmi obrazy organicky podm\u00EDn\u011Bn\u00FDch poruch hybnosti, vysok\u00E1 energetick\u00E1 n\u00E1ro\u010Dnost pohybu a charakteristick\u00E9 zm\u011Bny p\u0159\u00EDznak\u016F p\u0159i zm\u011Bn\u00E1ch zam\u011B\u0159en\u00ED pozornosti. Diagn\u00F3za psychogenn\u00ED poruchy hybnosti je klinick\u00E1 a je pln\u011B v kompetenci neurologa, kter\u00FD by nem\u011Bl alibisticky opakovat negativn\u00ED pomocn\u00E1 vy\u0161et\u0159en\u00ED k %22vylou\u010Den\u00ED organicity%22 ani o\u010Dek\u00E1vat, \u017Ee diagn\u00F3zu u\u010Din\u00ED a pacientovi sd\u011Bl\u00ED jin\u00FD odborn\u00EDk. \u00DAsp\u011B\u0161nost l\u00E9\u010Debn\u00E9ho postupu u psychogenn\u00EDch poruch hybnosti kles\u00E1 s d\u00E9lkou trv\u00E1n\u00ED obt\u00ED\u017E\u00ED a s rozvojem jejich soci\u00E1ln\u00EDch d\u016Fsledk\u016F."@cs . "Serranov\u00E1, Tereza" . . . "Psychogenic disorders of gait"@en . "Neurologie pro praxi" . "RIV/00064165:_____/13:10159054!RIV14-MZ0-00064165" . . . "Psychogenn\u00ED poruchy ch\u016Fze" . . "Gait disturbances are ranked among the most common manifestations of psychogenic movement disorders, a nosological area lying between neurology and psychiatry where both physicians and patients often find themselves at risk of diagnostic and therapeutic errors. The aim of this review is to show the typical manifestations, emphasize diagnostic principles and outline the therapeutic options for psychogenic movement disorders, with a special focus on disorders of gait. Typical patterns of psychogenic gait disorders include 1. balance disorders (with inadequately broad-based gait, often with paradoxical improvements in tandem walking test, spontaneous rope-walkers gait or astasia-abasia), 2. pseudoparetic gait or 3. extremely slow gait. At the same time, expressed are general features of psychogenic movement disorders such as inconsistency of symptoms over time, incongruence with typical organic movement disorders, high energy expenditure and characteristic changes in symptoms with distracted attention. The diagnosis of psychogenic movement disorders is clinical and on full responsibility of the neurologist, who should not repeat the negative auxiliary examinations to %22exclude organicity%22 or expect that another specialist will make the diagnosis and communicate it to the patient. Success of the treatment regimen for psychogenic movement disorders decreases with their duration and with development of their social consequences."@en . "CZ - \u010Cesk\u00E1 republika" . "14" . . "Psychogenn\u00ED poruchy ch\u016Fze" . . . . . "http://www.neurologiepropraxi.cz/pdfs/neu/2013/04/05.pdf" .