A Case of Psychogenic Paraplegia Documented During Sleep by Video Monitoring
نویسندگان
چکیده
Psychogenic paraplegia is an uncommon conversion disorder characterized by nonorganic loss of motor function precipitated by some type of traumatic event. A 60-year-old man was referred from neurosurgery department with the chief complaint of paraplegia. One year ago he was involved in a motor vehicle accident. Whole spine magnetic resonance imaging (MRI) and electrophysiological study couldn’t explain the organic cause of paraplegia. We decided to observe him during his sleep as we suspected a psychogenic cause for the symptoms. Irregular, non-stereotyped and involuntary leg movements were documented during sleep by video monitoring, and he was diagnosed as psychogenic paraplegia. In conclusion, if a psychogenic paraplegia is suspected, video monitoring during sleep could be recommended as a differentiation tool from neurological disorder.
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