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J Child Neurol ; 23(11): 1316-8, 2008 Nov.
Article in English | MEDLINE | ID: mdl-18984843

ABSTRACT

We report the case of an 11-year-old girl presenting with a 1.5-year history of swan neck-like deformed joint contractures of both hands. A possible diagnosis was sought in a wide range of rheumatological, metabolic, and neurological disorders. After detailed diagnostic procedures to exclude an organic pathology, steps were taken to establish a psychogenic origin. She showed symptoms that were incongruent with an organic neurological disorder, for example, a paroxysmal fluctuating course, reaction to placebo, and complete remission with psychotherapy and physiotherapy. The psychosomatic evaluation revealed a highly emotional conflict. This bizarre case demonstrates that secondary contractures are by no means an exclusion criterion for a psychogenic dystonia.


Subject(s)
Dystonic Disorders/complications , Movement Disorders/complications , Psychophysiologic Disorders/diagnosis , Child , Dystonic Disorders/psychology , Female , Humans
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