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[Hysterical pseudo-coma: A case report].

N Chouaib¹, H Chouaib¹, L Belyamani¹

¹Pôle des urgences médico-chirurgicales, hôpital militaire d'instruction Mohammed-V, Madinat Al Irfane, Rabat, Maroc.

|May 17, 2015

Summary

Hysterical pseudo-coma, a dissociative disorder, can mimic sleep with normal brain activity. Psychiatric care resolved a four-day episode in a 28-year-old man, highlighting the importance of mental health assessment.

Keywords:

Coma Comorbidités organiques Dissociative disorder Hysterical pseudo-coma Organic comorbidities Perturbation of consciousness Pseudo-coma hystérique Trouble de conscience Trouble dissociatif

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Area of Science:

Neurology
Psychiatry

Background:

Hysterical pseudo-coma is a rare condition characterized by apparent sleep with a normal waking electroencephalogram (EEG).
This disorder is often classified under dissociative disorders not otherwise specified in psychiatric contexts.
It can persist for extended periods without any identifiable organic cause.

Observation:

A case report details a four-day episode of hysterical pseudo-coma in a 28-year-old male patient.
The patient exhibited normal biological, radiological, and electroencephalographic findings.
Responsiveness during nasogastric tube insertion suggested a non-organic etiology.

Findings:

The patient's condition was diagnosed as hysterical pseudo-coma, a manifestation of a dissociative disorder.
Adapted psychiatric care was initiated for the patient.
The patient regained autonomy within three days of hospitalization.

Implications:

Prompt psychiatric intervention can prevent extensive diagnostic workups and invasive treatments for hysterical pseudo-coma.
This case underscores the necessity of considering mental health evaluations in unexplained prolonged states of unresponsiveness.
Further investigation into potential organic comorbidities and their management remains crucial.