Roobol M P, Swolfs S N, Maas H A A M, Veth C P M
Tijdschr Psychiatr. 2019;61(10):725-729.
A 61-year-old woman with a conversion disorder (functional neurological symptom disorder) was referred by her neurologist to the outpatient psychiatric clinic for medically unexplained somatic symptoms. She did not respond well to our treatment, which we initially related to a comorbid mood disorder. Eventually, a progression of both motor and cognitive symptoms were found to be consistent with corticobasal degeneration, a rare neurodegenerative disorder. This case report illustrates the importance of a revised neurological examination when a patient with conversion disorder does not improve.
一名患有转换障碍(功能性神经症状障碍)的61岁女性被她的神经科医生转介到门诊精神科诊所,以处理医学上无法解释的躯体症状。她对我们的治疗反应不佳,我们最初认为这与共病的情绪障碍有关。最终,发现运动和认知症状的进展与皮质基底节变性相符,这是一种罕见的神经退行性疾病。本病例报告说明了当转换障碍患者没有改善时,进行修订的神经学检查的重要性。