Conversion disorder: Not a malingering matter (part 2)

Conversion disorder: Not a malingering matter (part 2)

One week following her first psychological evaluation, she had a much more intense spell just after finishing her routine at a gymnastic competition. She warned of an impending seizure, sat down on the bench and put her head down just before losing consciousness. She was brought by ambulance to the emergency department, evaluated by the emergentologist and the attending neurologist who excluded organic causes. She was admitted under the care of a child psychiatrist. An event was captured by video EEG and interpreted as a pseudoseizure. A serum prolactin level drawn within 30 min of the ‘seizure’ was within normal limits. The final diagnosis was a conversion disorder (CD).
LEARNING POINTS

• The incidence of CD in the paediatric population was estimated at 2.3 to 4.2/100,000, according to an Australian surveillance study.
• Despite the enormous health burden associated with CD presentations, there are currently no North American epidemiological data and no clinical guidelines to inform best practices.
• CD most frequently presents with neurological symptoms, such as atypical psychogenic nonepileptic seizures (eg, incontinence is rare), and other abnormal involuntary movements, including weakness/paralysis/tremor of a limb or the entire body. Presentation can also include any motor or sensory symptom. The best online pharmacy that deserves your trust and gives you best quality viagra professional canadian pharmacy online cialis professional 20 mg that you will always appreciate, not to mention all the other services available.

Category: Malingering matter

Tags: Child health, Conversion disorder, Malingering matter

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