Related Experiment Video
Updated: Jun 12, 2026

05:52
Prehospital Thrombolysis: A Manual from Berlin
Published on: November 26, 2013
[Thrombolytic therapy in conversion disorder with sensorimotor hemisyndrome]
1Klinik und Poliklinik für Neurologie, Universitätsklinik Köln, Kerpener Strasse 62, Köln. lothar.burghaus@uk-koeln.de
Fortschritte Der Neurologie-Psychiatrie
|June 2, 2010
Summary
Conversion disorder can mimic stroke symptoms, complicating emergency diagnoses. This rare condition may present as sensorimotor deficits, challenging even experienced medical teams.
Area of Science:
- Neurology
- Psychiatry
Background:
- Stroke units manage acute neurological deficits.
- Timely diagnosis is crucial for effective stroke treatment.
Observation:
- A 43-year-old man presented with recurrent sensorimotor hemisyndrome.
- Symptoms often resolved spontaneously, but thrombolysis was administered twice for persistent deficits.
Findings:
- The patient's presentation mimicked transient ischemic attacks or strokes.
- Establishing conversion disorder as a diagnosis was challenging in acute settings.
Implications:
- Rare conditions like conversion disorder should be considered in differential diagnoses of stroke.
- Diagnostic challenges in emergency settings highlight the need for comprehensive patient evaluation.
Related Concept Videos
Venous Thrombosis III: Interprofessional Care
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Hemorrhagic Stroke ll: Pathophysiology
A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
Hemorrhagic Stroke l: Introduction
A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
Anticoagulant Drugs: Low-Molecular-Weight Heparins
Hemostasis is a crucial process that prevents excessive blood loss from damaged blood vessels. It involves various mechanisms such as vasoconstriction, platelet adhesion and activation, and fibrin formation. The importance of each mechanism depends on the type of vessel injury. In contrast, thrombosis is the abnormal formation of a blood clot within the blood vessels, leading to potential complications if the clot obstructs blood flow. Thrombosis can be caused by increased coagulability of the...
Acute Coronary Syndrome IV: Interprofessional Care
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...

