Is globus hystericus?

نویسندگان

  • J A Wilson
  • I J Deary
  • A G Maran
چکیده

Forty-six patients, 9 male, 37 female, presenting to an ear, nose and throat department with a principal complaint of globus sensation were investigated by radiology, manometry, endoscopy and prolonged ambulatory pH monitoring to exclude a physical basis for their symptoms. Patients also underwent assessment by the Eysenck Personality Inventory (EPI) and General Health Questionnaire (GHQ). The only organic abnormalities detected were an abnormal degree of oesophageal acid exposure (seven patients) and oesophageal spasm (one patient). Female patients were neurotic introverts on EPI testing; males were stable ambiverts. High GHQ scores were present in 13 females (35%) and one male and there was a significant correlation between N scores (in the EPI) and GHQ scores. We propose that globus is a useful, single-symptom model for the study of conversion disorders.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Does Helicobacter pylori treatment improve the symptoms of globus hystericus?

BACKGROUND/AIMS Globus hystericus is a feeling of tension in the throat, irrelevant of swallowing, persisting for at least 12 weeks. Since the cause of globus hystericus is not fully described, the treatment is controversial. We aimed in this study to determine the symptoms of gastroesophageal reflux disease, upper gastrointestinal endoscopic findings, prevalence of Helicobacter pylori,and post...

متن کامل

Globus hystericus: a brief review.

Globus hystericus, a form of conversion disorder, is characterized by an uncomfortable sensation of a mass in the esophagus or airway. Evaluation proves no mass exists. Anxiety or psychological conflict is judged to be significantly related to the onset and progression of the sensation. The sensation may lead to difficulty swallowing or breathing and may become severe or life threatening. The d...

متن کامل

An Introduction to the Globus Toolkit

The Globus toolkit is a grid middleware being developed at the Institute of Sciences Information of the University of Southern California and at Argonne National Laboratories. In this paper we briefly introduce the core services and the functionalities provided; in particular we address the Globus Security Infrastructure, the resource management and the Grid Information Service.

متن کامل

Striking the Right Balance: Cortical Modulation of the Subthalamic Nucleus-Globus Pallidus Circuit

The subthalamic nucleus-globus pallidus network is a potential source of oscillations in Parkinson's disease, but the mechanism is unknown. In this issue of Neuron, Chu et al. (2015) present a cortically driven form of heterosynaptic plasticity that could promote oscillatory activity after dopamine depletion.

متن کامل

Toward an Anatomy of Disappointment: Reward-Related Signals from the Globus Pallidus

The globus pallidus (internal segment, GPi) is traditionally regarded as part of the motor system. In this issue of Neuron, Hong and Hikosaka report on a little known projection from the monkey GPi to the lateral habenula that is modulated by reward. This adds an important branch to the brain's reward circuitry.

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • The British journal of psychiatry : the journal of mental science

دوره 153  شماره 

صفحات  -

تاریخ انتشار 1988