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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.

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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:
ComaComorbidités organiquesDissociative disorderHysterical pseudo-comaOrganic comorbiditiesPerturbation of consciousnessPseudo-coma hystériqueTrouble de conscienceTrouble 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.