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Globus hystericus: a brief review
Ryan Finkenbine1, Vincent J Miele
1Department of Behavioral Medicine and Psychiatry, West Virginia University School of Medicine, Morgantown, WV, USA. rfinkenbine@hsc.wvu.edu
General Hospital Psychiatry
|February 6, 2004
Summary
Globus hystericus, a conversion disorder, causes a distressing sensation of a throat mass due to psychological conflict. This review explores its diagnosis, causes, and treatments for this poorly understood condition.
Area of Science:
- Psychiatry
- Gastroenterology
- Otolaryngology
Background:
- Globus hystericus involves a sensation of a throat mass without a physical cause.
- It is classified as a conversion disorder, linked to psychological distress.
- Symptoms can include dysphagia and dyspnea, potentially becoming severe.
Purpose of the Study:
- To review the current literature on globus hystericus.
- To cover diagnosis, etiology, treatment, and prognosis.
- To enhance understanding of this poorly studied disorder.
Main Methods:
- Literature review of globus hystericus.
- Analysis of diagnostic criteria.
- Examination of treatment and management strategies.
Main Results:
- Globus hystericus is a conversion disorder with no physical basis for the throat sensation.
- Psychological factors are key to its onset and progression.
- The differential diagnosis is extensive, requiring careful evaluation.
Conclusions:
- Management aligns with other conversion disorders.
- Further research is needed due to limited understanding.
- Effective treatment may involve addressing underlying psychological conflicts.