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https://www.readbyqxmd.com/read/29780064/systemic-lupus-erythematosus-and-sj%C3%A3-gren-s-syndrome-complicated-by-conversion-disorder-a-case-report
#1
Misa Nakamura, Seiji Tanaka, Tadashi Inoue, Yasuto Maeda, Kiyohito Okumiya, Takuya Esaki, G O Shimomura, Kenji Masunaga, Shinichiro Nagamitsu, Yushiro Yamashita
Conversion disorder (CD) is sometimes accompanied by motor and sensory impairments, such as muscle weakness, paralysis, sensory hypersensitivity, and sensory loss. Sjögren's syndrome (SS) complicates 5-10% of cases of systemic lupus erythematosus (SLE). Patients with SS or SLE present with various neurological symptoms and psychiatric manifestations. When neurological symptoms are present, it is important to distinguish whether the symptoms are caused by a neurological or a mental disorder because the former requires early intensive intervention, such as methylprednisolone pulse therapy (MPT), whereas psychotherapy or antidepressant drugs are recommended for mental disorders...
May 21, 2018: Kurume Medical Journal
https://www.readbyqxmd.com/read/29764988/you-ve-made-the-diagnosis-of-functional-neurological-disorder-now-what
#2
EDITORIAL
Caitlin Adams, Jordan Anderson, Elizabeth N Madva, W Curt LaFrance, David L Perez
Patients with functional neurological disorders (FND)/conversion disorder commonly present to outpatient clinics. FND is now a 'rule in' diagnosis based on neurological examination findings and semiological features. While neurologists may be more comfortable diagnosing patients with FND, there is only limited guidance as to how to conduct follow-up outpatient visits. Using clinical vignettes, we provide practical suggestions that may help guide clinical encounters including how to: (1) explore illness beliefs openly; (2) enquire longitudinally about predisposing vulnerabilities, acute precipitants and perpetuating factors that may be further elucidated over time; (3) facilitate psychotherapy engagement by actively listening for potentially unhelpful or maladaptive patterns of thoughts, behaviours, fears or psychosocial stressors that can be reflected back to the patient and (4) enquire about the fidelity of individual treatments and educate other providers who may be less familiar with FND...
May 15, 2018: Practical Neurology
https://www.readbyqxmd.com/read/29739840/characteristics-of-children-hospitalized-for-psychogenic-nonepileptic-seizures-due-to-conversion-disorder-versus-epilepsy
#3
Sarah K Luthy, Angela F Moss, Michelle R Torok, Lisa McLeod, Karen M Wilson
OBJECTIVES: Psychogenic nonepileptic seizures (PNES) are a manifestation of conversion disorder among children but can be difficult to distinguish from epilepsy. We sought to identify characteristics that differentiate children with PNES from those with epilepsy. METHODS: We conducted a retrospective cohort study of children admitted with epilepsy or PNES to 45 children's hospitals from 2004 to 2014. Children with PNES ( n = 399) versus those with epilepsy ( n = 13 241) were compared on demographic and clinical characteristics, testing, treatment, and health care use...
May 8, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29702433/individual-differences-in-corticolimbic-structural-profiles-linked-to-insecure-attachment-and-coping-styles-in-motor-functional-neurological-disorders
#4
Benjamin Williams, Rozita Jalilianhasanpour, Nassim Matin, Gregory L Fricchione, Jorge Sepulcre, Matcheri S Keshavan, W Curt LaFrance, Bradford C Dickerson, David L Perez
BACKGROUND: Insecure attachment and maladaptive coping are important predisposing vulnerabilities for Functional Neurological Disorders (FND)/Conversion Disorder, yet no prior structural neuroimaging studies have investigated biomarkers associated with these risk factors in FND populations. This magnetic resonance imaging study examined cortical thickness and subcortical volumes associated with self-reported attachment and coping styles in patients with FND. We hypothesized that insecure attachment and maladaptive coping would relate to limbic-paralimbic structural alterations...
April 6, 2018: Journal of Psychiatric Research
https://www.readbyqxmd.com/read/29698734/metacognition-of-visuomotor-decisions-in-conversion-disorder
#5
Indrit Sinanaj, Rebekah Blakemore, Julian Klug, Yann Cojan, Silvio Galli, Alexandre Berney, Selma Aybek, Patrik Vuilleumier
Motor conversion disorder (CD) entails genuine disturbances in the subjective experience of patients who maintain they are unable to perform a motor function, despite lack of apparent neurological damage. Abilities by which individuals assess their own capacities during performance in a task are called metacognitive, and distinctive impairment of such abilities is observed in several disorders of self-awareness such as blindsight and anosognosia. In CD, previous research has focused on the recruitment of motor and emotional brain systems, generally linking symptoms to altered limbic-motor interactions; however, metacognitive function has not been studied to our knowledge...
April 23, 2018: Neuropsychologia
https://www.readbyqxmd.com/read/29697337/conversion-disorder-diagnosis-and-medically-unexplained-symptoms
#6
Michael James Redinger, Parker Crutchfield, Tyler S Gibb, Peter Longstreet, Robert Strung
No abstract text is available yet for this article.
May 2018: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/29692751/explicit-and-implicit-components-of-the-emotional-processing-in-non-organic-vision-loss-behavioral-evidence-about-the-role-of-fear-in-functional-blindness
#7
Federica Scarpina, Lisa Melzi, Gianluca Castelnuovo, Alessandro Mauro, Stefania B Marzoli, Enrico Molinari
Non-organic vision loss (NOVL), a functional partial or global vision loss, might be considered a manifestation of conversion disorder. The few previous studies focused on investigating the relationship between cerebral activity and subjective symptoms in NOVL; however, the emotional processing is still neglected. In the present case-controls study, we investigated the capability of two individuals diagnosed with NOVL to recognize implicitly the emotions of fear and anger; this was assessed through a facial emotion recognition task based on the redundant target effect...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29682384/corrigendum-to-a-case-of-sporadic-creutzfeldt-jakob-disease-presenting-as-conversion-disorder
#8
Nikhil Yegya-Raman, Rehan Aziz, Daniel Schneider, Anthony Tobia, Megan Leitch, Onyi Nwobi
[This corrects the article DOI: 10.1155/2017/2735329.].
2018: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/29670796/huntington-s-disease-in-a-patient-misdiagnosed-as-conversion-disorder
#9
João Machado Nogueira, Ana Margarida Franco, Susana Mendes, Anabela Valadas, Cristina Semedo, Gustavo Jesus
Huntington's disease (HD) is an inherited, progressive, and neurodegenerative neuropsychiatric disorder caused by the expansion of cytosine-adenine-guanine (CAG) trinucleotide in Interested Transcript (IT) 15 gene on chromosome 4. This pathology typically presents in individuals aged between 30 and 50 years and the age of onset is inversely correlated with the length of the CAG repeat expansion. It is characterized by chorea, cognitive deficits, and psychiatric symptoms. Usually the psychiatric disorders precede motor and cognitive impairment, Major Depressive Disorder and anxiety disorders being the most common presentations...
2018: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/29666739/prosopagnosia-as-a-type-of-conversion-disorder
#10
Clodagh Power, Oisin Hannigan, Robert Coen, Irene Bruce, Matthew Gibb, Marie McCarthy, David Robinson, Brian A Lawlor
Background: Conversion disorder is a common and debilitating condition that remains poorly understood. We present a previously undescribed form of conversion disorder to highlight the complexity of the condition and consider the interplay of factors that produce conversion symptoms. Case: A 50-year-old male presented with acquired prosopagnosia and language impairment. Neuropsychological testing indicated right temporal lobe dysfunction. Extensive work-up outruled an organic aetiology...
2018: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/29628294/the-inpatient-assessment-and-management-of-motor-functional-neurological-disorders-an-interdisciplinary-perspective
#11
Kathleen McKee, Sean Glass, Caitlin Adams, Christopher D Stephen, Franklin King, Kristin Parlman, David L Perez, Nicholas Kontos
BACKGROUND: Motor functional neurologic disorders (FND)-previously termed "hysteria" and later "conversion disorder"-are exceedingly common and frequently encountered in the acute hospital setting. Despite their high prevalence, patients with motor FND can be challenging to diagnose accurately and manage effectively. To date, there is limited guidance on the inpatient approach to the neuropsychiatric evaluation of patients with functional (psychogenic) neurologic symptoms...
January 8, 2018: Psychosomatics
https://www.readbyqxmd.com/read/29624652/religious-stigmata-a-dermato-psychiatric-approach-and-differential-diagnosis
#12
REVIEW
Elio Kechichian, Elie Khoury, Sami Richa, Roland Tomb
BACKGROUND: Stigma refers to the wounds reproduced on the human body, similar to the ones inflicted on the Christ during his crucifixion, on the palms, soles, and head, as well as the right or the left side of the chest, the lips and, the back. Whether they are genuine or fabricated, stigmata are still considered a medical enigma. OBJECTIVE: To summarize and analyze all available medical data about stigmata, integrating both its dermatological and psychiatric features...
April 6, 2018: International Journal of Dermatology
https://www.readbyqxmd.com/read/29606068/treatment-for-patients-with-a-functional-neurological-disorder-conversion-disorder-an-integrated-approach
#13
Mary A O'Neal, Gaston Baslet
No abstract text is available yet for this article.
April 1, 2018: American Journal of Psychiatry
https://www.readbyqxmd.com/read/29601954/functional-neuroimaging-of-recovery-from-motor-conversion-disorder-a-case-report
#14
REVIEW
A M Dogonowski, K W Andersen, F Sellebjerg, K Schreiber, K H Madsen, H R Siebner
A patient with motor conversion disorder presented with a functional paresis of the left hand. After exclusion of structural brain damage, she was repeatedly examined with whole-brain functional magnetic resonance imaging, while she performed visually paced finger-tapping tasks. The dorsal premotor cortex showed a bilateral deactivation in the acute-subacute phase. Recovery from unilateral hand paresis was associated with a gradual increase in task-based activation of the dorsal premotor cortex bilaterally...
March 27, 2018: NeuroImage
https://www.readbyqxmd.com/read/29593207/chasing-the-chameleon-psychogenic-paraparesis-responding-to-non-invasive-brain-stimulation
#15
Simona Portaro, Demetrio Milardi, Antonino Naro, Antonio Chillura, Francesco Corallo, Angelo Quartarone, Rocco Salvatore Calabrò
Neurologic symptoms that develop unconsciously and are incompatible with known pathophysiologic mechanisms or anatomic pathways belong to Conversion Disorder (CD). CD diagnosis is based on the clinical history and the exclusion of physical disorders causing significant distress or social and occupational impairment. In a subgroup of CD, called functional weakness (FW), symptoms affecting limbs may be persistent, thus causing a permanent or transient loss of limb function. Physiotherapy, pharmacotherapy, hypnotherapy and repetitive transcranial magnetic stimulation (rTMS) have been proposed as treatment strategies for FW-CD...
March 30, 2018: Psychiatry Investigation
https://www.readbyqxmd.com/read/29563965/avoiding-diagnostic-errors-in-psychosomatic-medicine-a-case-series-study
#16
Atsuko Koyama, Yoichi Ohtake, Kanae Yasuda, Kiyohiro Sakai, Ryo Sakamoto, Hiromichi Matsuoka, Hirokuni Okumi, Toshiko Yasuda
Background: Non-organic lesions or diseases of unknown origin are sometimes misdiagnosed as "psychogenic" disorders or "psychosomatic" diseases. For the quality of life and safety of patients, recent attention has focused on diagnostic error. The aim of this study was to clarify the factors that affected misdiagnoses in psychosomatic medicine by examining typical cases and to explore strategies that reduce diagnostic errors. Case presentation: The study period was from January 2001 to August 2017...
2018: BioPsychoSocial Medicine
https://www.readbyqxmd.com/read/29550412/characteristics-and-outcomes-of-children-with-conversion-disorder-admitted-to-a-single-inpatient-rehabilitation-unit-a-retrospective-study
#17
Ashlee Bolger, Andrew Collins, Michelle Michels, David Pruitt
BACKGROUND: Conversion disorder (CD) can lead to impaired functioning. Few studies present demographic and outcome data for pediatric patients. Many have had success with rehabilitation; however, further details are not known. OBJECTIVE: To identify characteristics and outcomes of children admitted to a pediatric inpatient rehabilitation program with CD symptoms. DESIGN: Retrospective study. SETTING: Inpatient rehabilitation unit within a large children's hospital...
March 14, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29509290/self-reference-emotion-inhibition-and-somatosensory-disturbance-preliminary-investigation-of-network-perturbations-in-conversion-disorder
#18
R Monsa, M Peer, S Arzy
BACKGROUND AND PURPOSE: Conversion disorder (CD), or functional neurological disorder, is manifested as a neurological disturbance that is not macroscopically visible on clinical structural neuroimaging and is instead ascribed to underlying psychological stress. Known for many years in neuropsychiatry, a comprehensive explanation of the way in which psychological stress leads to a neurological deficit of a structural-like origin is still lacking. METHODS: We applied whole-brain network-based data-driven analyses on resting-state functional magnetic resonance imaging, recorded in seven patients with acute-onset, stroke-like CD with unilateral paresis and hypoesthesia as compared with 15 age-matched healthy controls...
June 2018: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/29463338/a-novel-treatment-protocol-nocebo-hypothesis-cognitive-behavioural-therapy-nh-cbt-for-functional-neurological-symptom-disorder-conversion-disorder-a-retrospective-consecutive-case-series
#19
Matt Richardson, Gina Isbister, Brad Nicholson
BACKGROUND: Theories concerning the aetiology of functional neurological symptom disorder (FNSD; also known as conversion disorder) have historically inferred that psychological factors or dissociative states underlie patients' symptoms. Current psychological models of functional neurological symptoms suggest that some type of 'top-down' representations/beliefs are activated automatically (without conscious awareness), leading to symptoms. It is assumed that these representations or beliefs are similar to the idea 'I am neurologically damaged', as in our clinical experience, almost all patients have some reason to doubt the integrity of their neurological system...
February 21, 2018: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/29436799/-eye-of-the-tiger-in-a-non-responsive-neuropsychiatric-patient-a-case-report
#20
Milad Hosseinialhashemi, Babak Daneshfard, Atefe Hashemi
Hallervorden-Spatz syndrome is a rare neurodegenerative disorder with hereditary properties. It usually occurs in young adolescents with extrapyramidal symptoms besides disturbed mental function. In this study, we present a 23-year-old neuropsychiatric patient who primarily misdiagnosed to have conversion disorder. She had 5-year history of progressive dysarthria and generalized abnormal movements. After detecting the pathognomonic sign of "eye of the tiger" diagnosis was confirmed. The patient was discharged...
January 2018: Acta Medica Iranica
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