No abstract available.
Conversion Disorder*

No abstract available.
Adaptation, Psychological* ; Conversion Disorder* ; Somatoform Disorders*

No abstract available.
Adaptation, Psychological* ; Conversion Disorder* ; Somatoform Disorders*

We report an anesthetic experience in a clinically euthyroid patient with hyperthyroxinemia (elevated free thyroxine, fT4 and normal 3, 5, 3'-L-triiodothyronine, T3) and suspected impairment of conversion from T4 to T3. Despite marked hyperthyroxinemia, this patient's perioperative hemodynamic profile was suspected to be the result of hypothyroidism, in reference to the presence of T4 to T3 conversion disorder. We suspected that pretreatment with antithyroid medication before surgery, surgical stress and anesthesia may have contributed to the decreased T3 level after surgery. She was treated with liothyronine sodium (T3) after surgery which restored her hemodynamic profile to normal. Anesthesiologists may be aware of potential risk and caveats of inducing hypothyroidism in patients with euthyroid hyperthyroxinemia and T4 to T3 conversion impairment.
Anesthesia ; Conversion Disorder ; Hemodynamics ; Humans ; Hyperthyroxinemia* ; Hypothyroidism ; Sodium ; Thyroxine ; Triiodothyronine

Visual conversion reaction is characterized by fluctuating visual acuity and tubular fields in the absence of any organic lesion. It is thought that the environmental and psychological factors contribute to the onset of symptom. Twenty-two cases of visual conversion reactions were evaluated clinically and the results were as follows. 1. Visual conversion reaction is more frequent in females and children and low vision is almost always affected bilaterally. 2. Sixteen cases(72.7%) showed tubular and constricted fields inspite of normal CT and electrophysiologic responses. 3. Of the cases, 86.4%(19/22) had improved their reduced visual acuity to over 0.8 after treatment with suggestion, placebo, plano lenses and some kind of psychotheraphy.
Child ; Conversion Disorder* ; Female ; Humans ; Psychology ; Vision, Low ; Visual Acuity

OBJECTIVES: This study was designed to compare the relationships of psychopathology, stress event frequency and stress perception between globus hystericus patients and normal subjects, and to assess coping strategy and susceptibility for assisting the understanding of psychological mechanism and future treatment modalities. METHODS: Thirty-two globus hystericus patients who were consulted from the department of otolaryngology and fifty-three healthy subjects participated in this study. The authors used SCL-90-R(Korean Symptom Check List-90-Revision) for the measurement of psychiatric symptoms, GARS(Global Assessment of Recent Stress Scale) for stress perception, Social Readjustment Rating Scale for stress frequency and the Weisman Coping Strategy Scale for coping ability and susceptibility. The SPSS version 10.0 for Windows was used for statistical analysis. RESULTS: 1) Comparison of demographic characteristics showed no significant difference except level of education, which was significantly lower in the patient group. 2) The score of depression and anxiety items in SCL-90-R were significantly higher in the patient group. 3) The score of all subclasses in the GARS scale was significantly higher in the patient group. 4) The scores of neutral life event frequency, negative life event frequency, and negative life events more than 1 year past in social Readijustment Rating Scale, were significantly higher in the patient group, but there was no significant difference in positive life event frequency. 5) Weisman Coping Strategy Scale showed suppression, compliance, redefinition, intellectualism and displacement to be higher in frequency in descending order. Projection and fatalism were lower in frequency. 6)The patient group was susceptible to frustration, anxiety & fear, depression in descending order. CONCLUSION: Globus hystericus patients showed higher stress frequency, stress perception, and used positive coping strategies. Globus hystericus has an intimate association with stress factors, so an appropriate management is required in view of treatment.
Anxiety ; Compliance ; Conversion Disorder* ; Depression ; Education ; Frustration ; Humans ; Otolaryngology ; Psychopathology ; Social Perception

The clinical records of fourty-one children with psychologic disorders who were admitted to Department of Pediatrics, Seoul National University Hospital from July 1976 to June 1981 were analysed. The results were as follows: 1. The patients consisted of 21 boys and 20 girls. 2. According to the order of birth, the first born and only child accounted for 43.8% of total children with psychogenic problem. 3. Adbominal pain was the most common somatic complaint among 41 children c psychosocial problem. 4. There were various organic lesions suspected on admission. 5. During hospitalization, many studies other than routine laboratory examination were performed and consultations to other specialities were requested. 6. Parent-child interation such as overprotection, oversolicitude, overrestriction(prohibition), overindulgence, and confliction parental attitude was the most common etiologic (psychogenic) factors in cases of children with psychogenic problem. 7. Diagnostic clues most frequently obtained were progression(31.7%) which was not deteriorationg and recurrent or occurring frequently only at time of stress. 8. Conversion reaction was the most common final diagnosis among 41 children with psychogenic problem.
Child ; Conversion Disorder ; Diagnosis ; Female ; Hospitalization ; Humans ; Inpatients ; Only Child ; Parents ; Parturition ; Pediatrics ; Referral and Consultation ; Seoul

Limb paralysis can develop for various reasons. We found a 13-year-old patient who became paralyzed in her lower extremities after laparoscopic appendectomy. Some tests, including electrodiagnostic studies and magnetic resonance imaging, were performed to evaluate the cause of lower limb paralysis. None of the tests yielded definite abnormal findings. We subsequently decided to explore the possibility of psychological problems. The patient was treated with simultaneous rehabilitation and psychological counseling. Paralysis of the patient's lower extremity improved gradually and the patient returned to normal life. Our findings indicate that psychological problems can be related to limb paralysis without organ damage in patients who have undergone laparoscopic surgical procedures.
Adolescent ; Appendectomy* ; Conversion Disorder* ; Counseling ; Extremities ; Humans ; Laparoscopy ; Lower Extremity ; Magnetic Resonance Imaging ; Paralysis* ; Rehabilitation

A Meige's syndrome is a rare neurological syndrome characterized by blepharospam and oromandibular dystonia. Its pathophysiology is not clearly determined yet, but the hypothesis of dopaminergic and cholinergic hyperactivity is most widely accepted. Anticholinergic drugs, antidopaminergic drugs and botulism toxin injection are currently used for the treatment of Meige's syndrome. The Meige's syndrome could be misdiagnosed as a psychaitric disorder such as conversion disorder or anxiety disorder, because clinical features of the Meige's syndrome are very variable and affected by psychological factors. The authors experienced one case of a 49-year-old female patient who was initally misdiagnosed as conversion disorder but confirmed later as Meige's syndrome, and then successfully treated.
Anxiety Disorders ; Botulism ; Conversion Disorder* ; Diagnosis, Differential* ; Dystonia ; Female ; Humans ; Middle Aged ; Psychology

It is reported the fact that there is high incidence of conversion hysteria in Korea compared with other country. Many authors has stressed the importence of the possibity of hysteria when the patient complained of visual disturbance, visual field change and ocular discomfortness without any organic change of the eye. Author presented a case of conversion hysteria, 13years old male with chief complain of sudden severe visual disturbance, concentric constriction of the periperal visual field change and pseudomyopIa. He had treated at other eye clinics with the diagnosis of pseudomyopia or optic neuritis without improvement of ocular abnormalities over a year. Every efforts such as corrective glasses, systemic administration of steroids were failed. Finally author consulted this patient with the impression of conversion hysteria to the psychiatry department. All of ocular abnormalities were completly recorvered after treatment at the psychiatry department.
Constriction ; Conversion Disorder ; Diagnosis ; Eyeglasses ; Glass ; Humans ; Hysteria ; Incidence ; Korea ; Male ; Optic Neuritis ; Steroids ; Visual Fields