A Case of Psychogenic Paraplegia Documented During Sleep by Video Monitoring
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Psychogenic paraplegia is an uncommon conversion disorder characterized by nonorganic loss of motor function precipitated by some type of traumatic event. A 60-year-old man was referred from neurosurgery department with the chief complaint of paraplegia. One year ago he was involved in a motor vehicle accident. Whole spine magnetic resonance imaging (MRI) and electrophysiological study couldn’t explain the organic cause of paraplegia. We decided to observe him during his sleep as we suspected a psychogenic cause for the symptoms. Irregular, non-stereotyped and involuntary leg movements were documented during sleep by video monitoring, and he was diagnosed as psychogenic paraplegia. In conclusion, if a psychogenic paraplegia is suspected, video monitoring during sleep could be recommended as a differentiation tool from neurological disorder.
Abstract
Psychogenic paraplegia is an uncommon conversion disorder characterized by nonorganic loss of motor function precipitated by some type of traumatic event. A 60-year-old man was referred from neurosurgery department with the chief complaint of paraplegia. One year ago he was involved in a motor vehicle accident. Whole spine magnetic resonance imaging (MRI) and electrophysiological study couldn’t explain the organic cause of paraplegia. We decided to observe him during his sleep as we suspected a psychogenic cause for the symptoms. Irregular, non-stereotyped and involuntary leg movements were documented during sleep by video monitoring, and he was diagnosed as psychogenic paraplegia. In conclusion, if a psychogenic paraplegia is suspected, video monitoring during sleep could be recommended as a differentiation tool from neurological disorder.
참고문헌 (10)
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