Conversion disorder: Not a malingering matter (part 3)

Affected patients have a long period between onset of symptoms and a confirmed diagnosis of CD and often undergo unnecessary extensive investigations and procedures.
CD should not be a diagnosis of exclusion. Early identification can ensure prompt treatment and improve outcomes (based on adult population studies).
An elevated prolactin level 30 min after the event can occur with partial seizures, generalized seizures or syncope but not typically with pseudoseizures.
Studies focusing on misdiagnosis rates of CD have shown improvement from approximately 29% in the 1950s to 17% in the 1960s and have been stable at around 0.4% to 4% for every decade since then.
When compared with misdiagnosis rates for other disorders in neurology and psychiatry, such as epilepsy, CD does well with misdiagnosis rates of 0.4% to 4% compared to those for epilepsy, which consistently range from 23% to 30%.

The CPSP study on CD in the paediatric population is the first epidemiological study of its kind in North America with the goal of informing clinical policy and guidelines on strategies for effective management. In the first three months of surveillance, 36 cases have been reported. Cheapest treatment – buy viagra super active online right now to always have a wide choice of options.

Category: Malingering matter

Tags: Child health, Conversion disorder, Malingering matter

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