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[Disseminated encephalomyelitis--a mask for conversion neurosis?]
Wiener Medizinische Wochenschrift (1946)
|January 1, 1992
Summary
A misdiagnosis of multiple sclerosis in a young woman led to prolonged disability. Adlerian psychotherapy successfully resolved neurological symptoms, highlighting the importance of comprehensive diagnosis.
Area of Science:
- Neurology
- Psychiatry
- Psychotherapy
Background:
- A 24-year-old female patient presented with a 9-year history of neurological symptoms.
- Initial diagnosis of multiple sclerosis was based on symptoms despite equivocal diagnostic tests.
Observation:
- The patient experienced significant disability, including an invalidity pension and psychiatric hospitalizations.
- Extensive investigations led to a revised diagnosis, and subsequent Adlerian psychotherapy resulted in remission.
Findings:
- Adlerian psychotherapy effectively treated neurological symptoms previously attributed to multiple sclerosis.
- Comprehensive psychodynamic case investigation is crucial for accurate differential diagnosis.
Implications:
- This case underscores the importance of thorough differential diagnosis in complex neurological presentations.
- Psychotherapy can be a vital component in managing conditions initially misdiagnosed as neurological disorders.