Concluded Case

Conversion disorder Vs stroke

A 26 year old recently married female was brought to OPD with history of right sided paresis with inability to move the right hand including the fingers. The suspected ischaemic event was 8 days back with prior history of fever. She was admitted and underwent all the appropriate investigations including MRI which was normal without any significant markers of ischaemic event or infarction. There was alleged history of altercation with the husband and in-laws prior to this episode following which there was an episode of tonic-clonic activity , frothing , grinding of teeth and loss of consciousness lasting for 5-6 minutes. Kindly opine on the cause and management.

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Concluded answer

Repression,dissociation,denial defense mechanisms

All Answers

Pseudo seizure Details evaluation of behaviour and history about- family, personal, drugs, occupation, menstrual cycle, Past history. Alprazolam, clonazepam to give her in three divide doses under observation. Repeat to discuss with her for this types behaviours for management. Last to do personality traits test, Rorschach test apply.

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EEG records suggested. CXR PA view to r/o focus of Pulmonary Koch .Widal test . Typhodot to r/ o Enteric fever

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Conversion disorder

Repression,dissociation,denial defense mechanisms

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Diseases Related to Discussion

Enteric Fever
Conversion Disorder

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