Rigante D, Torrioli M G, Ferrara P, Buonuomo P S, Pulitanò S, Stabile A
Department of Paediatrics, Università Cattolica Sacro Cuore, Policlinico A. Gemelli, Rome, Italy.
Acta Paediatr. 2003;92(1):120-2. doi: 10.1111/j.1651-2227.2003.tb00482.x.
To show that conversion reactions should be suspected when symptomatology or instrumental checking does not conform to a precise pathological pattern in its anatomical and physiological keys.
We report the case of a 14-y-old girl who presented with signs and symptoms of Guillain-Barré polyradiculonevritis. Negative instrumental and laboratory tests led us to consider a possible diagnosis of conversion reaction.
After a more detailed history emphasizing the close bond between the patient and her father, a poor peer-relation exchange and psychological stress, we were able to identify conversion reactions through the patient's motor signs.
Conversion symptoms must be suspected and searched for when the neurologic outline is difficult to clarify, and also in the case of Guillain-Barré syndrome that does not respond to plasmapheresis.
表明当症状学或仪器检查在解剖学和生理学关键方面不符合精确的病理模式时，应怀疑存在转换反应。
我们报告了一名14岁女孩的病例，她表现出吉兰 - 巴雷多发性神经根神经炎的体征和症状。仪器和实验室检查结果为阴性，这使我们考虑可能诊断为转换反应。
在详细询问病史，强调患者与其父亲之间的紧密联系、不良的同伴关系交流和心理压力后，我们通过患者的运动体征确定了转换反应。
当神经系统轮廓难以明确时，以及在对血浆置换无反应的吉兰 - 巴雷综合征病例中，必须怀疑并寻找转换症状。
