A Case of Bilateral Ptosis with Unsteady Gait: Suggestibility and Culture in Conversion Disorder

M. Al-Sharbati, Noona Viernes, Ala'adin Al-Hussaini, Z. Zaidan, P. Chand, S. Al-Adawi
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引用次数: 7

Abstract

We report a case of a 14-year-old girl who presented, following a sudden onset, with bilateral ptosis, gait disturbance, difficulty swallowing and loss of appetite, right hypochondriacal pain, and frontal headache. Protracted neurological and medical examinations were unremarkable; neither was precipitating psychological stresses evident. The condition, which manifest as typical conversion disorder, lasted for one year. “Treatment” involving electrical stimulation of both eyes muscles and legs with positive reassurance resolved the symptom. This case supports the view that conversion disorder, not only involves a strong element of suggestion, but also incorporates socio-cultural sanctioned prescription.
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双侧上睑下垂伴步态不稳1例:转换障碍的暗示与培养
我们报告一个14岁女孩的病例,她在突然发作后出现双侧上睑下垂,步态障碍,吞咽困难和食欲不振,右侧疑病症疼痛和额部头痛。长期的神经学和医学检查没有什么特别的;也没有明显的心理压力。这种情况持续了一年,表现为典型的转换障碍。“治疗”包括对双眼肌肉和双腿进行电刺激,并给予积极的安慰,从而解决了症状。本案例支持了这样一种观点,即转换障碍不仅涉及强烈的暗示因素,而且还包含社会文化认可的处方。
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