Is It Organic or Is It Functional: Is It Hysteria or Malingering?

Stevens, Harold

doi:10.1016/s0193-953x(18)30619-1

Cited by 20 publications

(9 citation statements)

References 16 publications

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“…[1][2][3][4]6,9 Reports list the prevalence of patients with conversion disorder who are admitted to spine wards as 0.3 to 3.8%. 1,3,4,9,[17][18][19] In our studies, this prevalence was 3.7%. Typically, it is a diagnosis of exclusion after all organic causes have been ruled out.…”

Section: Discussionmentioning

confidence: 66%

A New Clinical Evaluation for Hysterical Paralysis

Yugue

Shiba²,

Ueta³

et al. 2004

Spine

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The Spinal Injuries Center test is a new clinical evaluation method that can help make a correct diagnosis of hysterical paralysis. When a patient is unable to lift up his knees by himself, the result of the Spinal Injuries Center test is considered to be positive, and hysterical paralysis is diagnosed in such patients. The diagnosis of hysterical paralysis must be ruled out when encountering patients with paralysis, and as a result, imaging and electrophysiological studies are often necessary. Unfortunately, such tests are costly. Thus, a new clinical evaluation for the diagnosis of hysterical paralysis, named the Spinal Injuries Center test, was developed. When patients who are unable to lift up their knees by themselves test positive using the Spinal Injuries Center test, then they are considered to have ether hysterical or simulated paralysis.

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Section: Discussionmentioning

confidence: 66%

A New Clinical Evaluation for Hysterical Paralysis

Yugue

Shiba²,

Ueta³

et al. 2004

Spine

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“…Also, chronicity of symptoms is known to carry a poorer prognosis. 80 As symptom duration of 6 months or greater is not associated with non-response in the meta-analysis and some participants responded despite having symptoms lasting many years, 19,28,43 drug interviews may have a role in people with chronic, treatment-resistant conversion disorder .…”

Section: Discussionmentioning

confidence: 95%

Abreaction for conversion disorder: systematic review with meta-analysis

2010

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The evidence for effectiveness of drug interviews is of poor quality but it may be of benefit in the treatment of acute and treatment-resistant conversion disorder. A proactive approach during the interview, making suggestions the individual will respond, could influence outcome. Comorbid psychiatric disorder should be treated conventionally. Experimental studies to determine efficacy are required.

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“…Heruti et al [7] reviewed the symptoms of 34 hysterical paralysis patients and found that 18 had paraplegia, 11 had hemiplegia or hemiparesis, one had monoplegia, and one had triplegia. Although rare, hysterical paralysis is seen occasionally in the orthopedic spine clinic as between 1 and 3.8% of patients with conversion disorder are admitted to spine wards [8][9][10]. A diagnosis of hysterical paralysis should never be made unless all possible organic causes have been ruled out [11].…”

Section: Case Reportmentioning

confidence: 99%

Hysterical conversion paralysis in an adolescent boy with lumbar spondylolysis

Higuchi

Tonogai²,

Sakai³

et al. 2016

Journal of Pediatric Orthopaedics B

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We describe a case of recurrent hysterical paralysis triggered by low back pain because of lumbar spondylolysis. A 16-year-old male soccer player was referred to our institution with five previous episodes of acute paralysis triggered by severe low back pain. We performed direct surgical repair of the terminal-stage bilateral spondylolysis at L4 using a hook-rod system. His chronic low back pain was completely resolved, and no further episodes of hysterical paralysis have occurred after surgery. Spine surgeons should be aware of possible hysterical conversion paralysis when there is discrepancy between radiological and neurological findings.

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Is It Organic or Is It Functional: Is It Hysteria or Malingering?

Cited by 20 publications

References 16 publications

A New Clinical Evaluation for Hysterical Paralysis

A New Clinical Evaluation for Hysterical Paralysis

Abreaction for conversion disorder: systematic review with meta-analysis

Hysterical conversion paralysis in an adolescent boy with lumbar spondylolysis

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