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Related Experiment Videos

Convergence spasm--treatment by amytal interview. A case report.

G M Schwartze, L C McHenry, R C Proctor

    Journal of Clinical Neuro-Ophthalmology
    |June 1, 1983
    PubMed
    Summary

    Convergence spasm, characterized by eye convergence, accommodative spasm, and miosis, can stem from hysteria or organic causes. Narcosuggestion effectively treated a patient with convergence spasm and gaze palsy, confirming a nonorganic basis.

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    Area of Science:

    • Ophthalmology
    • Neurology
    • Psychiatry

    Background:

    • Convergence spasm presents with intermittent ocular convergence, accommodative spasm, and miosis.
    • While often linked to hysteria, organic etiologies can also underlie this condition.
    • Previous treatments have involved various ophthalmologic interventions.

    Observation:

    • A patient presented with convergence spasm and gaze palsy.
    • An amytal interview was employed to investigate the underlying cause.
    • This interview successfully identified a nonorganic basis for the neurological symptoms.

    Findings:

    • Narcosuggestion, combined with the amytal interview, proved to be an effective treatment modality.
    • The successful application of narcosuggestion highlights its therapeutic potential in specific cases.
    • Establishing a nonorganic etiology was crucial for guiding treatment decisions.

    Implications:

    • This case suggests narcosuggestion as a viable treatment option for convergence spasm with a nonorganic basis.
    • The findings underscore the importance of considering psychological factors in ophthalmologic and neurological presentations.
    • Further research into psychotherapeutic interventions for convergence disorders may be warranted.

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