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전환장애의 기능위약에 대한 새로운 양성징후: 표면근전도를 이용한 수면다원검사

A New Positive Sign of Functional Weakness in Conversion Disorder: Polysomnography with Extended Surface Electromyography

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초록

Patients often present with combinations of psychological disorders that manifest with neurological symptoms and/or signs that are not attributable to identifiable structural or functional etiology associated with the nervous system. We present the case of an elderly woman with functional weakness, which was documented using polysomnography with extended surface electromyography. Our findings show that polysomnography with extended surface electromyography may be a useful diagnostic tool for functional weakness in conversion disorder.

Abstract

Patients often present with combinations of psychological disorders that manifest with neurological symptoms and/or signs that are not attributable to identifiable structural or functional etiology associated with the nervous system. We present the case of an elderly woman with functional weakness, which was documented using polysomnography with extended surface electromyography. Our findings show that polysomnography with extended surface electromyography may be a useful diagnostic tool for functional weakness in conversion disorder.

참고문헌 (6)

  1. Stone J, "The 12 year prognosis of unilateral functional weakness and sensory disturbance", J Neurol Neurosurg Psychiatry, 74, pp.591~596 (2003)[DOI]
  2. Nimnuan C, "Medically unexplained symptoms : an epidemiological study in seven specialities", J Psychosom Res, 51, pp.361~367 (2001)[DOI]
  3. Stone J, "FMRI in patients with motor conversion symptoms and controls with simulated weakness", Psychosom Med, 69, pp.961~969 (2007)[DOI]
  4. Daum C, "Interobserver agreement and validity of bedside ‘positive signs’ for functional weakness, sensory and gait disorders in conversion disorder : a pilot study", J Neurol Neurosurg Psychiatry, 86, pp.425~430 (2015)[DOI]
  5. Tremolizzo L, "Positive signs of functional weakness", J Neurol Sci, 340, pp.13~18 (2014)[DOI]
  6. Stone J, "Functional weakness and sensory disturbance", J Neurol Neurosurg Psychiatry, 73, pp.241~245 (2002)[DOI]

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