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Work-related posttraumatic upper limb disorder. A case report.

P Capodaglio1, M P Nigrelli, S Malaguti

  • 1Servizio Fisiatria Occupazionale ed Ergonomia, Fondazione Salvatore Maugeri, IRCCS, Istituto di Riabilitazione di Montescano.

Giornale Italiano Di Medicina Del Lavoro Ed Ergonomia
|April 20, 2000
PubMed
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This case study details a patient experiencing persistent sensory loss in their right arm and hand following a left hand injury. Investigations suggest a conversion disorder with somatic features, highlighting psychological influences on physical symptoms.

Area of Science:

  • Neurology
  • Psychiatry
  • Occupational Medicine

Background:

  • Persistent sensory loss can manifest years after trauma.
  • Psychological factors can present with distinct physical symptoms.
  • Differential diagnosis is crucial for complex neurological presentations.

Observation:

  • A patient presented with long-term sensory deficits in the right forearm and hand.
  • The symptoms persisted over two years post-trauma to the contralateral hand.
  • Extensive diagnostic workup included imaging and psychological assessments.

Findings:

  • Radiographic and electromyographic studies were conducted.
  • Somatosensory evoked potentials and CT scans of the brain were performed.
  • Psychological evaluations utilized the Minnesota Multiphasic Personality Inventory and Rorschach test.

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Implications:

  • The findings suggest a conversion disorder with somatic features.
  • This case underscores the mind-body connection in physical ailments.
  • Understanding psychological contributions is vital for treating upper limb disorders.