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Conversion reaction presenting as a polyradiculonevritis.

D Rigante1, M G Torrioli, P Ferrara

  • 1Department of Paediatrics, Università Cattolica Sacro Cuore, Policlinico A. Gemelli, Rome, Italy. iclpe@rm.unicatt.it

Acta Paediatrica (Oslo, Norway : 1992)
|March 26, 2003
PubMed
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Conversion reactions should be suspected in neurological cases where symptoms and tests do not fit a clear pathological pattern, especially if Guillain-Barré syndrome is unresponsive to treatment.

Area of Science:

  • Neurology
  • Psychiatry
  • Psychosomatic Medicine

Background:

  • Conversion reactions present diagnostic challenges when clinical manifestations and instrumental findings are incongruent with established pathological patterns.
  • Early identification is crucial for appropriate management and to avoid misdiagnosis.

Observation:

  • A 14-year-old female presented with symptoms mimicking Guillain-Barré polyradiculoneuritis.
  • Negative diagnostic tests prompted consideration of a conversion reaction.
  • Detailed patient history revealed significant psychological stress and interpersonal difficulties.

Findings:

  • Motor signs were key in diagnosing conversion reaction.
  • The patient's symptoms were attributed to psychological stress rather than an organic neurological disorder.

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Implications:

  • Clinicians should consider conversion reactions in complex neurological presentations.
  • Suspecting conversion disorder is vital when neurological diagnoses remain unclear or treatment-resistant, such as in atypical Guillain-Barré syndrome cases.