Abstract
Study design: We present our cumulative experience with patients sustaining the most dramatic type of Conversion Disorder (CD) – Conversion Motor Paralysis.
Setting: Rehabilitation departments, Reuth Medical Center, Tel-Aviv and Sheba Medical Center, Tel-Hashomer, Israel.
Methods: During the period 1973–2000, 34 patients with neurological symptoms without any anatomical or physiological basis were admitted to both rehabilitation departments. This number consists of less than 1% of the total acute traumatic and non-traumatic spinal cord disorders admitted annually to these centers.
Results: Twenty-five of the subjects were men (mean age of 30 years) and nine were women (mean age of 31.4 years). Neurological symptoms included: paraplegia (complete or incomplete) (18), hemiplegia or hemi paresis (11), tetraplegia (complete or incomplete) (three), monoplegia (one), triplegia (one). The final diagnosis on discharge was CD in 30 of the 34 cases, the remaining four being diagnosed as malingering. Functionally, nine patients had a complete recovery, 10 a partial recovery and 15 remained unchanged.
Conclusion: Disabled people who experienced traumatic events resulting in various disabilities are admitted usually to a rehabilitation center. However, some of them are later diagnosed as having Conversion Disorder or malingering. We believe that their participation in active regular and integrative rehabilitation process is beneficial to most of them. Most of these patients gain functional independence and return to the main stream of life.
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References
Heruti RJ, Ohry A . The Rehabilitation Team–A Commentary Am J Phys Med Rehabil 1995 74: 466–468
Parobek VM . Distinguishing conversion disorder from neurologic impairment J Neurosci Nurs 1997 29: 128–134
Ford CV, Folks DG . Conversion disorders: an overview Psychosomatics 1985 26: 371–383
Binzer M, Andersen PM, Kullgren G . Clinical characteristics of patients with motor disability due to conversion disorder: a prospective control group study J Neurol Neurosurg Psychiatry 1997 63: 83–88
Lazare A . Current concepts in psychiatry: conversion symptoms N Engl J Med 1981 305: 745–748
Thompson APJ, Sills JA . Diagnosis of functional illness presenting with gait disorder Arch Phys Med Rehabil 1988 63: 148–152
Baker JH, Silver JR . Hysterical paraplegia J Neurol Neurosurg Psychiatry 1987 50: 375–382
American Psychiatric Assocaition . Diagnostic and Statistical Manual of Mental Disorder 4th edn Washington DC, American Psychiatric Association 1994
Heruti RJ, Levy A, Adunski A, Ohry A . Conversion motor paralysis disorder: overview and rehabilitation model Spinal Cord 2002 40: 327–334
Cardenas DD, Larson J, Egan KJ . Hysterical paralysis in the upper extremity of chronic pain patients Arch Phys Med Rehabil 1986 67: 190–193
Withrington RH, Wynn-Perry CB . Rehabilitation of conversion paralysis J Bone Joint Surg 1985 67: 635–637
Gatfield PD, Guze SB . Prognosis and differential diagnosis of conversion reactions Dis Nerv Syst 1962 23: 623–631
Weintraub MI . Hysterical conversion reactions – a clinical guide to diagnosis and treatment New-York: SP Medical 1983
Taylor RL . Distinguishing psychological from organic disorders New York: Springer 1990
Stewart TD . Hysterical conversion reactions: some patient characteristics and treatment team reactions Arch Phys Med Rehabil 1983 64: 308–310
Vatine JJ, Milun M, Avni J . Inpatient rehabilitation management of conversion disorder with motor dysfunction J Rehabil Sciences 1996 9: 122–125
Delargy MA, Peatfield R, Burt AA . Successful rehabilitation in conversion paralysis BMJ 1986 292: 1730–1731
Silver FW . Management of conversion disorder Am J Phys Med Rehabil 1996 75: 134–140
Speed J . Behavioral management of conversion disorder: retrospective study Arch Phys Med Rehabil 1996 77: 147–154
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Heruti, R., Reznik, J., Adunski, A. et al. Conversion motor paralysis disorder: analysis of 34 consecutive referrals. Spinal Cord 40, 335–340 (2002). https://doi.org/10.1038/sj.sc.3101307
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DOI: https://doi.org/10.1038/sj.sc.3101307
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