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A Case of Conversion Disorder with Blackout

일시적 혼수를 나타낸 전환장애 1례

  • Ko, Jae-Sang (Dept. of Neuropsychiatry, College of Oriental Medicine, Dongguk University) ;
  • Yoo, Jong-Ho (Dept. of Neuropsychiatry, College of Oriental Medicine, Dongguk University) ;
  • Lee, Chia-Hung (Dept. of Neuropsychiatry, College of Oriental Medicine, Dongguk University) ;
  • Lee, Jin-Hee (Dept. of Neuropsychiatry, College of Oriental Medicine, Dongguk University) ;
  • Koo, Byung-Soo (Dept. of Neuropsychiatry, College of Oriental Medicine, Dongguk University)
  • 고재상 (동국대학교 한의과대학 한방신경정신과학교실) ;
  • 유종호 (동국대학교 한의과대학 한방신경정신과학교실) ;
  • 이가굉 (동국대학교 한의과대학 한방신경정신과학교실) ;
  • 이진희 (동국대학교 한의과대학 한방신경정신과학교실) ;
  • 구병수 (동국대학교 한의과대학 한방신경정신과학교실)
  • Received : 2012.12.05
  • Accepted : 2012.12.17
  • Published : 2012.12.30

Abstract

Objectives : This case report presents a 68-year-old female patient. Her chief complaint was fatigue and depressed mood. During the therapeutic period, she experienced a sudden onset of unconsciousness. After two days, she became alert. We diagnosed her with conversion disorder. Methods : We treated her with Korean traditional herbal medicine (Chungsimyeonja-eum, Soum-In Bojungyikgi-tang, Hyeongbangjiwhang-tang) and oriental psychotherapy for 21 days. The effects of treatment were measured by Beck Depression Inventory (BDI), Zung Depression Rating Scale (SDS), and State-Trait Anxiety Inventory (STAI-X-1). Results : After treatment, the chief complaint and accompanying symptoms have been subsided and improved. Further, BDI, SDS, STAI-X-1 score were decreased. Conclusions : In this case, we recognized that Korean traditional herbal medicine and oriental psychotherapy could be effective for clinical symptoms of conversion disorder.

Keywords

References

  1. Kim JH, Hwang UW. Study on Symptoms Accompanying Consciousness Disorder Described in Donguibogam. The journal of Korean Oriental Internal Medicine 1986;3(1):67-72.
  2. Cho KH. Neurological examination. The Korean Society of Emergency Medicine 1997;5-9.
  3. Kim SH, Lee KC. Emergency Management of Comatous Patients. The journal of the Korean Society of Emergency Medicine 1992;3(1):5-12.
  4. Min SK. Modern psychiatry. 5th ed. Seoul: Ilchokak; 2006. p. 364-7.
  5. Korean NeuroPsychiatric Association. Textbook of Neuropsychiatry. Seoul: Hana; 1998. p. 438-57,197-204.
  6. Whang WW, Kim JH. Oriental Psychiatry. Seoul: Hyundai; 1992. p. 611-2, 553, 556-7, 563, 601, 615-6.
  7. The Korean Society Of Oriental Neuropsychiatry. Oriental Neuropsychiatry. Jipmundang; 2010. p. 192,336.
  8. Lee KW. Neurology and Neurosurgery Illustrated. 3rd ed. Bummun; 2002. p. 136, 137-143.
  9. Kim H, Lim KS, Lee KH, Kim YS, Kim SM, Hwang SO. The correlation of AVPU scale and Glasgow Coma Scale: The evaluation methods of mental status in trauma. The Korean Society of Emergency Medicine 1996;7(1):59-63.
  10. Ahn YS. U-Ju Yi's pharmacology. 6th ed. Uihak Munhwasa 2008;p. 225,232,247,458,820.
  11. Kim EJ, Lee DW. The Clinical Report about two Conversion Disorder Patient resulted from School Work. The journal of Korean Oriental Internal Medicine 2001;12(2):215-21.
  12. Kang SY, Yoon JW, Kim HJ, Kom WS, Sim KJ, Shim HN, et al. A Case of Conversion Disorder Treated with Gaegyeolseogyeong-tang. The journal of Korean Oriental Internal Medicine 2004;25(3):590-5.
  13. Jung HC, Lee SH, Jeong SM, Cha JD. A clinical report of Soeumin patient with conversion disorder. The journal of Oriental Neuropsychiatry 2002;13(2):233-9.
  14. Kim BY, Lee SH, Lee SJ, Hwang SM, Chung DK. A case of motor and sensory disorder in conversion disorder. The journal of Oriental Neuropsychiatry 2003;13(2):225-32.
  15. Kim MJ, Choi BM, Lee SR. Clinical Study for Conversion Disorder in 41 Admission Cases. The journal of Oriental Neuropsychiatry 2000; 11(2):135-8.
  16. Choi YC, Jeong SK, Lee HK. Literatural Study of jungkijeung. The Journal of Korean Oriental Medical Society 1993:14(2):154-161.
  17. Hyun WC, Lee SR. Literatural Study of jungkijeung. Daejeon University, Institute of Korean medicine 1994:2(2):285-95.
  18. Choi BM, Lee SR. The oriental-western literatural study of jungkijeung. Hyehwa. 2000: 19(1):237-57.
  19. Chun Ho. Tongui pogam. Seoul: Namsandang; 1987. p. 93.