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Related Experiment Videos

Intractable paroxysmal sneezing.

Pushkas Gopalan1, Simon T Browning

  • 1Department of Otolaryngology, Singleton Hospital, Swansea, UK. gpushkas@hotmail.com

The Journal of Laryngology and Otology
|December 19, 2002
PubMed
Summary

Intractable paroxysmal sneezing, often psychogenic, affects teenage girls. Topical nasal anesthesia can help distinguish psychogenic from organic causes, aiding diagnosis and preventing unnecessary treatments.

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Area of Science:

  • Neurology
  • Psychiatry
  • Otolaryngology

Background:

  • Intractable paroxysmal sneezing is a rare condition predominantly seen in adolescent females.
  • While often psychogenic, other medical conditions can mimic these symptoms.

Observation:

  • A case study of a 12-year-old girl presenting with classic features of intractable paroxysmal sneezing of psychogenic origin is detailed.
  • The patient exhibited symptoms consistent with this rare neurological and psychological disorder.

Findings:

  • Psychogenic sneezing is the most common etiology, but organic causes must be considered.
  • Topical nasal anesthesia is a key diagnostic tool to differentiate between psychogenic and organic sneezing.

Implications:

  • Accurate diagnosis through history, examination, and targeted investigations like nasal anesthesia is crucial.
  • Timely diagnosis prevents unnecessary medical interventions, reduces parental anxiety, and mitigates negative impacts on school performance in young patients.

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