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Intractable sneezing: is it always psychogenic?
Mustafa N Sulemanji1, Nuray O Kanbur, Orhan Derman
1Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.
The Turkish Journal of Pediatrics
|August 23, 2011
Summary
Intractable sneezing can be challenging to diagnose, often requiring extensive testing. Psychiatric evaluation revealed a psychogenic cause in one case, highlighting the need to consider psychosocial factors alongside organic causes.
Area of Science:
- Neurology
- Psychiatry
Background:
- Intractable sneezing is a rare condition that presents diagnostic challenges.
- Physicians often perform numerous tests to identify the cause of persistent sneezing.
Observation:
- A patient with intractable sneezing underwent extensive testing to rule out organic causes.
- Psychiatric evaluation identified a triggering psychosocial event.
- This led to the diagnosis of psychogenic sneezing.
Findings:
- Psychogenic sneezing can be difficult to diagnose, necessitating a thorough evaluation.
- While organic causes must be excluded, a significant number of cases may have psychogenic origins.
- Psychotherapy addressing psychosocial issues, combined with local anesthesia, effectively resolved the symptoms.
Implications:
- This case underscores the importance of considering psychogenic factors in intractable sneezing.
- A comprehensive diagnostic approach integrating psychiatric assessment is crucial.
- Integrating psychotherapy with medical interventions can improve patient outcomes for psychogenic sneezing.
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