Sengar Anurag, Mehta Rajiv, Owolabi Oluwasayo J, Garg Tulika, Ezenagu Uchenna E, Apata Esther O, Abdefatah Ali Munira, Omar Zainab, Chaudhry Hassan A, Khan Aadil
Psychiatry, Sir Gangaram Hospital, New Delhi, IND.
Psychiatry, Lugansk State Medical University, Lugansk, UKR.
Cureus. 2022 Dec 25;14(12):e32911. doi: 10.7759/cureus.32911. eCollection 2022 Dec.
Conversion disorders (CD) are changes in sensorimotor activity experienced by an individual due to an external event. Patients may experience "pseudoseizures" accompanied by the presence or absence of loss of consciousness. Disorders of movement and sensation is the term used to classify the various kinds of CDs in the International Classification of Diseases, Tenth Revision (ICD-10) diagnostic manual, and they are the rarest among all dissociative disorders. We will discuss two instances that are particularly rare. The first includes an older couple, starting with the wife, who had nervousness, heightened worry, intrusive thoughts, heavy perspiration, palpitations, headaches, and problems sleeping. She was prescribed 10 mg once-daily escitalopram. She stopped taking her medication and had facial and hand problems. The patient's 65-year-old husband started having strange hand and face movements and lost consciousness. The pair was hospitalized willingly and had radiographic (MRI and non-contrast computerized tomography {NCCT} head), nerve conduction, and neurological tests to rule out a movement issue. No inquiry or inspections uncovered anything unusual. The second case involves a mother and her 13-year-old son, who was taken to a psychiatric unit after urinating on a religious shrine. His mother had the same issue and couldn't urinate for days. Both patients were given 25 mg of paroxetine and benzodiazepines for anxiety and sleeplessness. After a week of medicine and psychotherapy after identifying stressors, both cases improved.
转换障碍（CD）是个体因外部事件而经历的感觉运动活动变化。患者可能会经历“假性癫痫发作”，伴有或不伴有意识丧失。运动和感觉障碍是《国际疾病分类第十版》（ICD - 10）诊断手册中用于对各种转换障碍进行分类的术语，它们是所有分离性障碍中最罕见的。我们将讨论两个特别罕见的病例。第一个病例涉及一对老年夫妇，先从妻子说起，她有紧张、过度担忧、侵入性思维、大量出汗、心悸、头痛和睡眠问题。她被开了每日一次、每次10毫克的艾司西酞普兰。她停止服药后出现了面部和手部问题。患者65岁的丈夫开始出现奇怪的手部和面部动作并失去意识。这两人自愿住院，进行了影像学检查（头部MRI和非增强计算机断层扫描{NCCT}）、神经传导检查和神经学检查，以排除运动问题。没有询问或检查发现任何异常情况。第二个病例涉及一位母亲和她13岁的儿子，儿子在一座宗教圣地小便后被送往精神科病房。他的母亲也有同样的问题，几天无法排尿。两位患者都被给予了25毫克的帕罗西汀和苯二氮䓬类药物来治疗焦虑和失眠。在确定压力源后经过一周的药物治疗和心理治疗，两个病例都有了改善。
