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A case study of Wei symptom initially misdiagnosed as conversion disorder

  • 김윤용 (경희대학교 한의과대학 한방신경정신과학 교실) ;
  • 변순임 (경희대학교 한의과대학 한방신경정신과학 교실) ;
  • 김지영 (경희대학교 한의과대학 한방신경정신과학 교실) ;
  • 황의완 (경희대학교 한의과대학 한방신경정신과학 교실) ;
  • 조성훈 (경희대학교 한의과대학 한방신경정신과학 교실)
  • Kim, Yun-Yong (Dept. of Neuropsychiatry, College of Oriental Medicine, Kyung Hee University) ;
  • Byun, Soon-Im (Dept. of Neuropsychiatry, College of Oriental Medicine, Kyung Hee University) ;
  • Kim, Ji-Young (Dept. of Neuropsychiatry, College of Oriental Medicine, Kyung Hee University) ;
  • Whang, Wei-Wan (Dept. of Neuropsychiatry, College of Oriental Medicine, Kyung Hee University) ;
  • Cho, Sung-Hoon (Dept. of Neuropsychiatry, College of Oriental Medicine, Kyung Hee University)
  • 발행 : 2007.12.30

초록

Conversion disorder is a diagnosis based on a psychological construct that currently has no known neurobiologic substrate. But It is not easy to differentiate a real conversion disorder from a neurological disease or other medical disease. A patient in this case report had been diagnosed as conversion disorder but later it was found that the conversion disorder was misdiagnosis. During the 7 days of treatment, this patient was treated by herb medication, acupuncture and TENS and bad a little improvement. Both way, this patient was evaluated and evantually was diagnosed as Guillain-Barre Syndrome Miller-Fisber Variant, suggesting that the former diagnosis bad been a mistake. In this case report, we will present this patient's case and review the misdiagnosis of conversion disorder.

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