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Conversion motor paralysis disorder: analysis of 34 consecutive referrals
R J Heruti1, J Reznik, A Adunski
1Department of Rehabilitation, Reuth Medical Center, Tel-Aviv, Israel.
Spinal Cord
|June 25, 2002
Summary
Patients with Conversion Disorder (CD) motor paralysis often present with neurological symptoms mimicking spinal cord injuries. Most diagnosed with CD showed functional improvement with integrative rehabilitation, highlighting its benefit for recovery and reintegration into life.
Area of Science:
- Neurology
- Psychiatry
- Rehabilitation Medicine
Background:
- Conversion Disorder (CD) motor paralysis is a severe manifestation of functional neurological symptoms.
- Patients presenting with such symptoms are often initially managed in rehabilitation settings for spinal cord disorders.
Purpose of the Study:
- To review the cumulative experience with patients diagnosed with Conversion Motor Paralysis.
- To evaluate the outcomes of rehabilitation for patients with Conversion Disorder.
Main Methods:
- Retrospective analysis of 34 patients admitted to rehabilitation departments between 1973 and 2000.
- Diagnosis of Conversion Disorder was made upon discharge for patients lacking organic neurological basis for symptoms.
Main Results:
- 30 out of 34 patients were diagnosed with Conversion Disorder; four were diagnosed with malingering.
- Neurological presentations included paraplegia, hemiplegia, and tetraplegia.
- Functional recovery varied: 9 complete, 10 partial, and 15 unchanged.
Conclusions:
- Conversion Disorder and malingering can be misdiagnosed among patients with neurological deficits.
- Active, integrative rehabilitation is beneficial for most Conversion Disorder patients.
- Rehabilitation facilitates functional independence and societal reintegration for these patients.