학술논문
Chasing the Chameleon: Psychogenic Paraparesis Responding to Non-Invasive Brain Stimulation
이용수 5
- 영문명
- 발행기관
- 대한신경정신의학회
- 저자명
- Simona Portaro Demetrio Milardi Antonino Naro Antonio Chillura Francesco Corallo Angelo Quartarone R
- 간행물 정보
- 『Psychiatry Investigation』제15권 제4호, 428~431쪽, 전체 4쪽
- 주제분류
- 의약학 > 정신과학
- 파일형태
- 발행일자
- 2018.04.30
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국문 초록
영문 초록
Neurologic symptoms that develop unconsciously and are incompatible with known pathophysiologic mechanisms or anatomic pathways belong to Conversion Disorder (CD). CD diagnosis is based on the clinical history and the exclusion of physical disorders causing significant distress or social and occupational impairment. In a subgroup of CD, called functional weakness (FW), symptoms affecting limbs may be persistent, thus causing a permanent or transient loss of limb function. Physiotherapy, pharmacotherapy, hypnotherapy and repetitive transcranial magnetic stimulation (rTMS) have been proposed as treatment strategies for FW-CD. Herein, we report a 30 year-old male, presenting with lower limb functional paraparesis, having obtained positive, objectively, and stable effects from a prolonged r-TMS protocol associated to a multidisciplinary approach, including psychological and sexuological counseling, and monitored by gait analysis. We postulate that our rTMS protocol, combined with a multidisciplinary approach may be the proper treatment strategy to improve FW-CD.
목차
INTRODUCTION
CASE
DISCUSSION
REFERENCES
키워드
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