Morimoto T, Hirata H, Nikaido T, Taniguchi K, Yoshihara T, Kobayashi T, Tsukamoto M, Mawatari M. Thoracic spinal epidural hematoma misdiagnosed as conversion paralysis: A case report.
Clin Case Rep 2024;
12:e8434. [PMID:
38292228 PMCID:
PMC10823548 DOI:
10.1002/ccr3.8434]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2023] [Revised: 12/19/2023] [Accepted: 12/25/2023] [Indexed: 02/01/2024] Open
Abstract
A woman with a history of psychiatric hospitalization was misdiagnosed with conversion paralysis despite lower extremity paralysis due to a thoracic epidural hematoma, leaving her with severe neurological deficits. Conversion paralysis is a diagnosis of exclusion and should never be made unless all possible organic causes have been ruled out.
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