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Conversion disorder presenting as multiple sclerosis

M B Russo1, F R Brooks, J Fontenot

  • 1Walter Reed Army Institute of Research, Division of Neuropsychiatry, Washington, DC 20307-5100, USA.

Military Medicine
|October 31, 1998
PubMed
Summary
This summary is machine-generated.

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A patient initially diagnosed with multiple sclerosis was found to have conversion disorder after fictitious symptoms and normal test results were revealed. Hypnosis and sodium pentothal successfully reversed his symptoms, highlighting diagnostic challenges.

Area of Science:

  • Neurology
  • Psychiatry

Background:

  • Multiple sclerosis (MS) is a chronic neurological disorder affecting the central nervous system.
  • Accurate diagnosis of MS relies on clinical presentation, imaging, and laboratory tests.
  • Conversion disorder can mimic neurological conditions, posing diagnostic challenges.

Observation:

  • A patient presented with symptoms suggestive of clinically definite multiple sclerosis.
  • Subsequent evaluation revealed fictitious examination findings.
  • Radiological, electrophysiological, and biochemical tests were all normal.
  • Symptoms resolved following sodium pentothal administration and hypnosis.

Findings:

  • The patient's presentation was inconsistent with multiple sclerosis.
  • The diagnostic workup ruled out organic neurological disease.

Related Experiment Videos

  • The patient's condition was reclassified as conversion disorder.
  • Symptom reversal was achieved through psychotherapeutic interventions.

    • Implications:

    • This case underscores the importance of a comprehensive diagnostic approach in neurology.
    • It highlights the potential for conversion disorder to mimic serious neurological conditions like MS.
    • The successful use of sodium pentothal and hypnosis suggests the efficacy of psychogenic treatment modalities.