Rappaport M, Sweeney D, Rappaport M L, Saal J, Wilmot C
University of California San Francisco, San Jose 95134.
Arch Phys Med Rehabil. 1988 Jun;69(6):455-7.
Reported here is the case of a 23-year-old man who, presenting as a spinal cord injury patient with paraplegic and bilateral sensory impairments in the legs, made a rather dramatic recovery after receiving a trivial jolt while moving about in his wheelchair. In addition to clinical findings, both hypnotic and somatosensory evoked potential test results were used to help determine whether there was or was not actual spinal cord injury and whether there was or was not a psychologic overlay involving either malingering or a conversion disorder. In this case, evidence pointed to malingering in the presence of a minor spinal cord injury documented by somatosensory evoked potential patterns.
本文报告了一名23岁男性的病例。该男子以脊髓损伤患者的身份就诊，双腿截瘫且双侧感觉障碍，在轮椅上活动时受到轻微震动后，病情出现了相当显著的恢复。除了临床检查结果外，还使用了催眠和体感诱发电位测试结果，以帮助确定是否存在实际的脊髓损伤，以及是否存在涉及诈病或转换障碍的心理叠加因素。在这个病例中，体感诱发电位模式记录显示存在轻度脊髓损伤，同时有证据指向诈病。
