A Case of Conversion Disorder Presenting Hemiplegia
Journal of the Korean Academy of Rehabilitation Medicine
;
: 357-360, 2009.
Article
in Korean
| WPRIM
| ID: wpr-723431
ABSTRACT
Patients with conversion disorder are often presented with critical symptoms or signs which could suggest severe organic disorders. Hysterical hemiparesis is a relatively rare presentation and it is difficult to diagnose because it is displayed as a unilateral motor weakness with or without sensory deficits. A previously healthy 23-years-old woman developed sudden onset of hemiplegia and hemianesthesia with loss of anal tone. Before the onset, she had a traffic accident. A through medical workup including X-rays, MRI, CT scans, EMG, and brain SPECT revealed no organic causes for such neurologic deficits. She gradually regained neurologic function over 2 months from the onset. Conversion disorder should be considered when symptom- related anatomic or physiologic abnormalities could not be proven with appropriate workup. Medical evaluation must be performed in advance to the diagnosis of conversion disorder to avoid misdiagnosis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Paresis
/
Brain
/
Accidents, Traffic
/
Tomography, Emission-Computed, Single-Photon
/
Conversion Disorder
/
Diagnostic Errors
/
Hemiplegia
/
Neurologic Manifestations
Type of study:
Controlled clinical trial
/
Diagnostic study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Journal of the Korean Academy of Rehabilitation Medicine
Year:
2009
Type:
Article
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