Hysterical conversion paralysis in an adolescent boy with lumbar spondylolysis

被引:4
作者
Higuchi, Tadahiro [1 ]
Tonogai, Ichiro [1 ]
Sakai, Toshinori [1 ]
Takata, Yoichiro [1 ]
Goda, Yuichiro [1 ]
Abe, Mitsunobu [1 ]
Jha, Subash C. [1 ]
Fukuta, Shoji [1 ]
Higashino, Kosaku [1 ]
Nagamachi, Akihiro [1 ]
Sairyo, Koichi [1 ]
机构
[1] Univ Tokushima, Dept Orthoped, 3-18-15 Kuramoto, Tokushima 7708503, Japan
来源
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 2016年 / 25卷 / 03期
关键词
adolescent; back pain; conversion disorder; hysterical paralysis; lumbar spondylolysis; DISORDER; MANAGEMENT;
D O I
10.1097/BPB.0000000000000198
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We describe a case of recurrent hysterical paralysis triggered by low back pain because of lumbar spondylolysis. A 16-year-old male soccer player was referred to our institution with five previous episodes of acute paralysis triggered by severe low back pain. We performed direct surgical repair of the terminal-stage bilateral spondylolysis at L4 using a hook-rod system. His chronic low back pain was completely resolved, and no further episodes of hysterical paralysis have occurred after surgery. Spine surgeons should be aware of possible hysterical conversion paralysis when there is discrepancy between radiological and neurological findings. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved.
引用
收藏
页码:271 / 274
页数:4
相关论文
共 23 条
[1]   Hysterical paralysis [J].
Atan, Cigdem ;
Seckin, Umit ;
Bodur, Hatice .
RHEUMATOLOGY INTERNATIONAL, 2007, 27 (09) :873-874
[2]  
Ballmaier M, 2005, FUNCT NEUROL, V20, P105
[3]  
Bhatia M S, 2000, Indian J Med Sci, V54, P335
[4]   Motor conversion disorder - A prospective 2- to 5-year follow-up study [J].
Binzer, M ;
Kullgren, G .
PSYCHOSOMATICS, 1998, 39 (06) :519-527
[5]   Motor inhibition in hysterical conversion paralysis [J].
Cojan, Yann ;
Waber, Lakshmi ;
Carruzzo, Alain ;
Vuilleumier, Patrik .
NEUROIMAGE, 2009, 47 (03) :1026-1037
[6]   Predictors of suicide in patients with conversion disorder [J].
Gulec, Medine Yazici ;
Ynanc, Leman ;
Yanartap, Omer ;
Uzer, Ahmet ;
Gulec, Huseyin .
COMPREHENSIVE PSYCHIATRY, 2014, 55 (03) :457-462
[7]   Conversion motor paralysis disorder: analysis of 34 consecutive referrals [J].
Heruti, RJ ;
Reznik, J ;
Adunski, A ;
Levy, A ;
Weingarden, H ;
Ohry, A .
SPINAL CORD, 2002, 40 (07) :335-340
[8]   Sociodemographic and clinical characteristics of patients with conversion disorder in Eastern Turkey [J].
Kuloglu, M ;
Atmaca, M ;
Tezcan, E ;
Gecici, O ;
Bulut, S .
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 2003, 38 (02) :88-93
[9]   DIAGNOSIS AND TREATMENT OF HYSTERICAL CONVERSION REACTIONS [J].
LESLIE, SA .
ARCHIVES OF DISEASE IN CHILDHOOD, 1988, 63 (05) :506-511
[10]  
Letonoff Eric J, 2002, Spine (Phila Pa 1976), V27, pE441, DOI 10.1097/00007632-200210150-00022