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Case Report

PBS. 2012; 2(4): 186-190


Psychiatric and neurologic viewpoints regarding conversion disorders: a review due to a case

Selma Bozkurt Zincir, Ömer Yanartaş, Ümit Başar Semiz, Özlem Kazan.




Abstract

According to the modern psychiatric classification systems, conversion disorder is defined as a disabling disorder with one or more neurological symptoms that suggest a physical disease and accompanying to psychological conflict. DSM-IV-TR subsumes conversion disorder under somatoform disorders category, whereas, ICD-10 classifies it under dissociative disorders diagnoses. Some authors have argued that conversion disorder should be classified under the category of dissociative disorders in DSM V as in ICD-10. It is suggested that some neurological and general medical conditions eventually develop in 25-50 percent of the patients with conversion disorder diagnosis. In this paper, we report and discuss a case who has initially presented with predominant motor symptoms and was referred to psychiatry clinic given the reason that her symptoms were not explained with any neurological disorder, however, the patients died after her follow-up period. In her retrospective analysis, the neurology clinic considered that the patient might have suffered from autonomic dysfunction.

Key words: conversion disorder, dissociative disorder, psychogenic movement disorder, autonomic dysfunction






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