Conversion disorder - Revision history

Mholtz: Text replacement - "* " to "*"

2017-07-24T01:12:55Z

Text replacement - "* " to "*"

← Older revision		Revision as of 01:12, 24 July 2017
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	==Background==		==Background==
	* Neurologic symptoms believed to be related to a psychiatric condition<ref>Allin M, Streeruwitz A, Curtis V. Progress in understanding conversion disorder. Neuropsychiatr Dis Treat. Sep 2005;1(3):205-9</ref>		*Neurologic symptoms believed to be related to a psychiatric condition<ref>Allin M, Streeruwitz A, Curtis V. Progress in understanding conversion disorder. Neuropsychiatr Dis Treat. Sep 2005;1(3):205-9</ref>
	* Symptoms are not intentionally produced		*Symptoms are not intentionally produced
	* Patient is often unconcerned or neutral to the neural deficit		*Patient is often unconcerned or neutral to the neural deficit
	* Recurrence is common, but good prognosis with single episode		*Recurrence is common, but good prognosis with single episode
	** Likelihood of recovery exceeds that of other somatoform disorders		**Likelihood of recovery exceeds that of other somatoform disorders
	** Good prognostic indicators include		**Good prognostic indicators include
	*** good premorbid health		***good premorbid health
	*** absence of organic illness or concomitant major psychiatric syndromes		***absence of organic illness or concomitant major psychiatric syndromes
	*** acute and recent onset		***acute and recent onset
	*** definite precipitation by a stressful event		***definite precipitation by a stressful event
	*** presenting symptoms of paralysis, aphonia, or blindness.		***presenting symptoms of paralysis, aphonia, or blindness.
	* '''Diagnosis of exclusion'''		*'''Diagnosis of exclusion'''

	==Clinical Features==		==Clinical Features==

Iaso: /* Background */

2017-02-23T11:28:57Z

Background

← Older revision		Revision as of 11:28, 23 February 2017
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	==Background==		==Background==
	*~~One or more~~ symptoms ~~that involve motor or sensory neurologic function~~ believed to be related to a psychiatric condition<ref>Allin M, Streeruwitz A, Curtis V. Progress in understanding conversion disorder. Neuropsychiatr Dis Treat. Sep 2005;1(3):205-9</ref>		* Neurologic symptoms believed to be related to a psychiatric condition<ref>Allin M, Streeruwitz A, Curtis V. Progress in understanding conversion disorder. Neuropsychiatr Dis Treat. Sep 2005;1(3):205-9</ref>
	*~~The symptoms~~ are not intentionally produced		* Symptoms are not intentionally produced
	*'''Diagnosis of exclusion'''		* Patient is often unconcerned or neutral to the neural deficit
	*Often associated with patient who is unconcerned or neutral to the loss of motor/sensory function		* Recurrence is common, but good prognosis with single episode
			** Likelihood of recovery exceeds that of other somatoform disorders
			** Good prognostic indicators include
			*** good premorbid health
			*** absence of organic illness or concomitant major psychiatric syndromes
			*** acute and recent onset
			*** definite precipitation by a stressful event
			*** presenting symptoms of paralysis, aphonia, or blindness.
			* '''Diagnosis of exclusion'''

	==Clinical Features==		==Clinical Features==

Neil.m.young at 04:47, 21 November 2016

2016-11-21T04:47:18Z

← Older revision		Revision as of 04:47, 21 November 2016
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	==Evaluation==		==Evaluation==
	*All test will be negative: should consider CT, CBC, CHEM 10, LP, Possible MRI if concerned for spinal pathology		*All test will be negative: should consider CT, CBC, CHEM 10, LP, Possible MRI if concerned for spinal pathology
	*[https://www.youtube.com/watch?v=CG5n516PCXM Optokinetic drum]		*[https://www.youtube.com/watch?v=CG5n516PCXM Optokinetic drum] in situations of factitious blindness

	==Management==		==Management==

Neil.m.young at 23:37, 20 November 2016

2016-11-20T23:37:03Z

← Older revision		Revision as of 23:37, 20 November 2016
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	==Clinical Features==		==Clinical Features==
	*A. One or more symptoms of altered voluntary motor or sensory function.<ref>American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.</ref>		*A. One or more symptoms of altered voluntary motor or sensory function<ref>American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.</ref>
	*B. Clinical findings provide evidence of incompatibility between the symptom and recognized neurological or medical conditions.		*B. Clinical findings provide evidence of incompatibility between the symptom and recognized neurological or medical conditions
	*C. The symptom or deficit is not better explained by another medical or mental disorder.		*C. The symptom or deficit is not better explained by another medical or mental disorder
	*D. The symptom or deficit causes clinically significant distress or impairment in social, occupational, or other important areas of functioning or warrants medical evaluation.		*D. The symptom or deficit causes clinically significant distress or impairment in social, occupational, or other important areas of functioning or warrants medical evaluation

	==Differential Diagnosis==		==Differential Diagnosis==

Neil.m.young at 23:36, 20 November 2016

2016-11-20T23:36:34Z

← Older revision		Revision as of 23:36, 20 November 2016
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	==Background==		==Background==
	*One or more symptoms that involve motor or sensory neurologic function believed to be related to a psychiatric condition.<ref>Allin M, Streeruwitz A, Curtis V. Progress in understanding conversion disorder. Neuropsychiatr Dis Treat. Sep 2005;1(3):205-9</ref>		*One or more symptoms that involve motor or sensory neurologic function believed to be related to a psychiatric condition<ref>Allin M, Streeruwitz A, Curtis V. Progress in understanding conversion disorder. Neuropsychiatr Dis Treat. Sep 2005;1(3):205-9</ref>
	*The symptoms are not intentionally produced		*The symptoms are not intentionally produced
	*'''Diagnosis of exclusion'''		*'''Diagnosis of exclusion'''

Neil.m.young at 23:36, 20 November 2016

2016-11-20T23:36:00Z

← Older revision		Revision as of 23:36, 20 November 2016
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	==Evaluation==		==Evaluation==
	*All test will be negative: should consider CT, CBC, CHEM 10, LP, Possible MRI if concerned for spinal pathology		*All test will be negative: should consider CT, CBC, CHEM 10, LP, Possible MRI if concerned for spinal pathology
	*~~See here for~~ [https://www.youtube.com/watch?v=CG5n516PCXM Optokinetic drum]		*[https://www.youtube.com/watch?v=CG5n516PCXM Optokinetic drum]

	==Management==		==Management==

Neil.m.young at 23:35, 20 November 2016

2016-11-20T23:35:23Z

← Older revision		Revision as of 23:35, 20 November 2016
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	==Disposition==		==Disposition==
	*Can often be discharged from ED if good support system, consider admission for psychiatric evaluation.		*Can often be discharged from ED if good support system, consider admission for psychiatric evaluation
	*Set up close psychiatric or neurology follow up		*Set up close psychiatric or neurology follow up

Humanguy: Added clinical features section

2016-11-11T06:02:48Z

Added clinical features section

← Older revision		Revision as of 06:02, 11 November 2016
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	*'''Diagnosis of exclusion'''		*'''Diagnosis of exclusion'''
	*Often associated with patient who is unconcerned or neutral to the loss of motor/sensory function		*Often associated with patient who is unconcerned or neutral to the loss of motor/sensory function

			==Clinical Features==
			*A. One or more symptoms of altered voluntary motor or sensory function.<ref>American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.</ref>
			*B. Clinical findings provide evidence of incompatibility between the symptom and recognized neurological or medical conditions.
			*C. The symptom or deficit is not better explained by another medical or mental disorder.
			*D. The symptom or deficit causes clinically significant distress or impairment in social, occupational, or other important areas of functioning or warrants medical evaluation.

	==Differential Diagnosis==		==Differential Diagnosis==

ClaireLewis: /* Management */

2016-09-12T05:00:49Z

Management

← Older revision		Revision as of 05:00, 12 September 2016
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	==Management==		==Management==
	*No current treatment, often symptoms will resolve if psychiatric connection is made to patient		*No current treatment, often symptoms will resolve if psychiatric connection is made to patient
			*Psych will sometimes recommend acute rehab as outpatient to work on specific presenting symptoms
	*Co-treatment of associated psychiatric syndromes		*Co-treatment of associated psychiatric syndromes

Afrierson: added CRPS to ddx

2016-08-01T21:28:54Z

added CRPS to ddx

← Older revision		Revision as of 21:28, 1 August 2016
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	*Malingering		*Malingering
	*[[Hypokalemic_periodic_paralysis\|Hypokalemic Periodic Paralysis]]		*[[Hypokalemic_periodic_paralysis\|Hypokalemic Periodic Paralysis]]
			*[[Complex regional pain syndrome]]
	*[[Multiple_Sclerosis\|Multiple Sclerosis]]		*[[Multiple_Sclerosis\|Multiple Sclerosis]]
	*[[Myasthenia_Gravis\|Myasthenia Gravis]]		*[[Myasthenia_Gravis\|Myasthenia Gravis]]