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Foot drop due to conversion disorder

Discussion in 'General Issues and Discussion Forum' started by NewsBot, Jul 18, 2015.

  1. NewsBot

    NewsBot The Admin that posts the news.

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    Conversion Disorder; an Unusual Etiology of Unilateral Foot Drop.
    Ayaz SB, Matee S, Malik R, Ahmad K
    Acta Neurol Taiwan. 2015 Jun 15;24(2):47-51.
     
  2. Admin2

    Admin2 Administrator Staff Member

  3. Admin2

    Admin2 Administrator Staff Member

    Conversion disorder

    Conversion disorder (CD), or functional neurologic symptom disorder, is a diagnostic category used in some psychiatric classification systems. It is sometimes applied to patients who present with neurological symptoms, such as numbness, blindness, paralysis, or fits, which are not consistent with a well-established organic cause, which cause significant distress, and can be traced back to a psychological trigger. It is thought that these symptoms arise in response to stressful situations affecting a patient's mental health or an ongoing mental health condition such as depression. Conversion disorder was retained in DSM-5, but given the subtitle functional neurological symptom disorder. The new criteria cover the same range of symptoms, but remove the requirements for a psychological stressor to be present and for feigning to be disproved. The ICD-10 classifies conversion disorder as a dissociative disorder,[1] and the ICD-11 as a dissociative disorder with unspecified neurological symptoms.[2][3] However, the DSM-IV classifies conversion disorder as a somatoform disorder.[4]

    1. ^ International Statistical Classification of Diseases and Related Health Problems, 10th Revision. F44.9
    2. ^ World Health Organization (2023). "6B60 Dissociative neurological with unspecified symptoms ". International Classification of Diseases, eleventh revision – ICD-11. Genova – icd.who.int.
    3. ^ World Health Organization (2023). "6B60.Z Dissociative neurological symptom disorder, with unspecified symptoms ". International Classification of Diseases, eleventh revision – ICD-11. Genova – icd.who.int.
    4. ^ Diagnostic and statistical manual of mental disorders: DSM-IV ; includes ICD-9-CM codes effective 1. Oct. 96 (4 ed.). American Psychiatric Association. 1994.
     
  4. consumerep

    consumerep Member

    Thanks for info. However there have been some who have been diagnosed with conversion Disorder and could possibly have a form of Dystonia. Dystonia does not show on scans and a person will need to be assessed by a movement disorder specialst who has an interest in Dystonia for diagnosis. These specialists who have knowledge in Dystonia are not easy to find and also a long wait for an appointment. One of the forms of Dystonia which is not well known is Functional Dystonia and you can do retraining of the brain in this form but will need to see a neuropsych who has knowledge of functional Dystonia

    If these people are misdiagnosed and psych treatment is not successful that what happens to them?
    I do agree there are some out there with conversion Disorder however I stress for the need to ensure other conditions ruled out before diagnosed as there has been cases where the person may suffer from Dystonia.
     
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