Conversion disorder: Difference between revisions
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== | ==Evaluation== | ||
*All test will be negative: should consider CT, CBC, CHEM 10, LP, Possible MRI if concerned for spinal pathology | *All test will be negative: should consider CT, CBC, CHEM 10, LP, Possible MRI if concerned for spinal pathology | ||
*See here for [https://www.youtube.com/watch?v=CG5n516PCXM Optokinetic drum] | *See here for [https://www.youtube.com/watch?v=CG5n516PCXM Optokinetic drum] | ||
Revision as of 10:42, 28 July 2016
Background
- One or more symptoms that involve motor or sensory neurologic function believed to be related to a psychiatric condition.[1]
- The symptoms are not intentionally produced
- Diagnosis of exclusion
- Often associated with patient who is unconcerned or neutral to the loss of motor/sensory function
Differential Diagnosis
- Malingering
- Hypokalemic Periodic Paralysis
- Multiple Sclerosis
- Myasthenia Gravis
- Stroke
- Guillain-Barre Syndrome
- Spinal Impingement/Epidural Abscess
General Psychiatric
- Organic causes
- Psychiatric causes
Evaluation
- All test will be negative: should consider CT, CBC, CHEM 10, LP, Possible MRI if concerned for spinal pathology
- See here for Optokinetic drum
Management
- No current treatment, often symptoms will resolve if psychiatric connection is made to patient
- Co-treatment of associated psychiatric syndromes
Disposition
- Can often be discharged from ED if good support system, consider admission for psychiatric evaluation.
- Set up close psychiatric or neurology follow up
References
- ↑ Allin M, Streeruwitz A, Curtis V. Progress in understanding conversion disorder. Neuropsychiatr Dis Treat. Sep 2005;1(3):205-9