Thoracic spinal epidural hematoma misdiagnosed as conversion paralysis: A case report

被引：0

作者：

Morimoto, Tadatsugu ^{[1
]}

Hirata, Hirohito ^{[1
]}

Nikaido, Takuya ^{[2
]}

Taniguchi, Kenichiro ^{[3
]}

Yoshihara, Tomohito ^{[1
]}

Kobayashi, Takaomi ^{[1
]}

Tsukamoto, Masatsugu ^{[1
]}

Mawatari, Masaaki ^{[1
]}

机构：

[1] Saga Univ, Fac Med, Dept Orthoped Surg, 5-1-1 Nabeshima, Saga, Japan

[2] Fukushima Med Univ, Dept Orthopaed Surg, Fukushima, Japan

[3] Saga Yebisu Mental Clic, Saga, Japan

来源：

CLINICAL CASE REPORTS | 2024年 / 12卷 / 02期

关键词：

conversion paralysis; misdiagnosis; SIC test; spinal epidural hematoma; DISORDER; CORD;

D O I：

10.1002/ccr3.8434

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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. Sagitta T2-weighted Magnetic resonance imaging (MRI) (Left) MRI before hematoma removal showed spinal cord epidural hematoma at the T8-L1 level. (Right) MRI at 3 weeks after hematoma removal: hematoma was removed, but spinal cord degeneration was evident.image

引用

页数：5

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