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Related Experiment Videos

Psychogenic stridor

T J Lacy1, S E McManis

  • 1Department of Psychiatry, Wilford Hall Medical Center, Lackland AFB, Texas.

General Hospital Psychiatry
|May 1, 1994
PubMed
Summary
This summary is machine-generated.

Psychogenic stridor, an upper airway obstruction linked to psychological factors, often mimics asthma and resists treatment. Conversion disorder was diagnosed in over half of reviewed cases, leading to invasive interventions and side effects.

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Area of Science:

  • Psychosomatic Medicine
  • Otolaryngology
  • Psychiatry

Background:

  • Psychological factors can manifest as physical symptoms, including upper airway obstruction.
  • Psychogenic stridor presents as stridor unresponsive to conventional treatments, often mimicking asthma.
  • Over the past two decades, an increasing number of psychogenic stridor cases have been reported.

Purpose of the Study:

  • To review reported cases of psychogenic stridor.
  • To analyze the characteristics, diagnoses, and outcomes of patients with psychogenic stridor.
  • To discuss differential diagnoses and treatment strategies for psychogenic stridor.

Main Methods:

  • Literature review of 48 reported cases of psychogenic stridor.
  • Analysis of patient presentations, diagnostic findings, and treatment interventions.

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  • Examination of medical and psychiatric differential diagnoses.

    • Main Results:

    • Psychogenic stridor is often initially misdiagnosed as asthma or other respiratory conditions.
    • Conversion disorder was diagnosed in 52% of the reviewed cases.
    • Some patients required intubation or tracheostomy, and many experienced side effects from unnecessary corticosteroid treatment.

    Conclusions:

    • Psychogenic stridor is a distinct clinical entity requiring careful medical and psychiatric evaluation.
    • Accurate diagnosis can prevent invasive procedures and harmful treatments.
    • Integrated treatment approaches addressing both psychological and physical aspects are crucial.