Dissociative disorder manifesting for underlying adolescent hemi-parkinsonism: New chronology for old mummies

Shailesh Jha1, Amit Garg1, Amit Khanna1

  • 1Department of Psychiatry, Institute of Human Behavior and Allied Sciences (IHBAS), Dilshad Garden, Delhi 110095, India.

Insights

Dissociative symptoms can arise from neurological conditions. This case highlights adolescent hemi-parkinsonism co-occurring with a dissociative disorder, suggesting a link between neurological insult and these symptoms.

Area of Science:

  • Neurology
  • Psychiatry

Background:

  • Dissociative symptoms can stem from various conditions, sometimes mimicking or coexisting with medical illnesses.
  • The causality between coexisting dissociative disorders and medical conditions remains unclear, but neurological insults are implicated.
  • Research suggests a significant percentage of patients with dissociative symptoms have a preceding neurological insult, supporting the concept of organic dissociative disorder.

Observation:

  • This report details a rare case of adolescent-onset hemi-parkinsonism.
  • The patient presented with coexisting dissociative disorder.

Findings:

  • The case demonstrates a potential association between hemi-parkinsonism and dissociative disorder in an adolescent.
  • This presentation supports the hypothesis that neurological insults can contribute to or trigger dissociative symptoms.

Implications:

  • This case underscores the importance of considering neurological etiologies in adolescent-onset dissociative disorders.
  • Further research is warranted to explore the neurobiological underpinnings of organic dissociative disorders.
  • Clinical evaluation for neurological conditions should be considered in patients with unexplained dissociative symptoms.

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