Global aphasia without hemiparesis: stroke or conversion disorder?

Detalhes bibliográficos
Autor(a) principal: Negreiros, Daniel Philippi de
Data de Publicação: 2007
Outros Autores: Fregni, Felipe, Scalco, Andréia Zavaloni
Tipo de documento: Artigo
Idioma: por
Título da fonte: Archives of Clinical Psychiatry
Texto Completo: https://www.revistas.usp.br/acp/article/view/17150
Resumo: BACKGROUND: The neurologic and psychiatric diagnosis in emergency settings are difficult tasks and require interdisciplinary effort. Conversion disorder is one of the differential diagnosis for certain neurologic disorders. The main characteristic is motor or sensory deficits suggesting neurologic or medical condition, but without organic disease that explains the symptoms. CASE REPORT: We present a 23 year-old-woman with an atypical clinical presentation of stroke: global aphasia without hemiparesis. This patient was initially diagnosed with conversion disorder by the internal medicine service in the emergency room. CONCLUSION: Some rare neurologic diseases can be interpreted as conversive disorders due to some reasons: clinical similarities between the two disorders, unusual clinical presentations, comorbidity of neurologic and psychiatric disorders and psychological features of the neurological patients. Patients presenting with atypical neurological or psychiatric symptoms, in which a diagnosis of conversion disorder is suspected, should always be investigated in an interdisciplinary setting.
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spelling Global aphasia without hemiparesis: stroke or conversion disorder? Afasia global sem hemiparesia: AVC ou transtorno conversivo? Acidente cerebrovasculartranstorno conversivoafasiadiagnóstico diferencialserviços médicos de emergênciacerebrovascular accidentconversion disorderaphasiadiagnosis differentialemergency medical services BACKGROUND: The neurologic and psychiatric diagnosis in emergency settings are difficult tasks and require interdisciplinary effort. Conversion disorder is one of the differential diagnosis for certain neurologic disorders. The main characteristic is motor or sensory deficits suggesting neurologic or medical condition, but without organic disease that explains the symptoms. CASE REPORT: We present a 23 year-old-woman with an atypical clinical presentation of stroke: global aphasia without hemiparesis. This patient was initially diagnosed with conversion disorder by the internal medicine service in the emergency room. CONCLUSION: Some rare neurologic diseases can be interpreted as conversive disorders due to some reasons: clinical similarities between the two disorders, unusual clinical presentations, comorbidity of neurologic and psychiatric disorders and psychological features of the neurological patients. Patients presenting with atypical neurological or psychiatric symptoms, in which a diagnosis of conversion disorder is suspected, should always be investigated in an interdisciplinary setting. CONTEXTO: A realização de diagnóstico neurológico e psiquiátrico em ambiente de emergência hospitalar com freqüência é uma tarefa complexa e exige colaboração interdisciplinar. Um dos diagnósticos diferenciais de doenças neurológicas é o transtorno conversivo, cuja característica principal é a presença de sintomas afetando funções motoras ou sensoriais, que sugerem desordem clínica ou neurológica, porém sem doença orgânica subjacente que explique o quadro. RELATO DE CASO: Os autores relatam o caso de uma paciente de 23 anos com apresentação clínica atípica de acidente vascular cerebral, afasia global sem hemiparesia, que foi inicialmente diagnosticada como transtorno psiquiátrico pelo serviço de clínica médica de emergência. CONCLUSÃO: Certas apresentações neurológicas podem ser interpretadas como transtorno conversivo pelas similaridades clínicas entre as duas desordens, raridade do quadro clínico, pela presença de sintomatologia psiquiátrica e fatores psicossociais nos pacientes neurológicos. Mesmo com apresentações neurológicas atípicas e sintomas psiquiátricos, pacientes com quadro sugestivo de transtorno conversivo devem ser sempre investigados de forma interdisciplinar. Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria2007-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/acp/article/view/1715010.1590/S0101-60832007000100004Revista de Psiquiatria Clínica; Vol. 34 Núm. 1 (2007); 23-27Archives of Clinical Psychiatry; v. 34 n. 1 (2007); 23-27Archives of Clinical Psychiatry; Vol. 34 No. 1 (2007); 23-271806-938X0101-6083reponame:Archives of Clinical Psychiatryinstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/acp/article/view/17150/19157Negreiros, Daniel Philippi deFregni, FelipeScalco, Andréia Zavaloniinfo:eu-repo/semantics/openAccess2012-09-26T14:39:17Zoai:revistas.usp.br:article/17150Revistahttp://www.hcnet.usp.br/ipq/revista/index.htmlPUBhttps://old.scielo.br/oai/scielo-oai.php||archives@usp.br1806-938X0101-6083opendoar:2012-09-26T14:39:17Archives of Clinical Psychiatry - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Global aphasia without hemiparesis: stroke or conversion disorder?
Afasia global sem hemiparesia: AVC ou transtorno conversivo?
title Global aphasia without hemiparesis: stroke or conversion disorder?
spellingShingle Global aphasia without hemiparesis: stroke or conversion disorder?
Negreiros, Daniel Philippi de
Acidente cerebrovascular
transtorno conversivo
afasia
diagnóstico diferencial
serviços médicos de emergência
cerebrovascular accident
conversion disorder
aphasia
diagnosis differential
emergency medical services
title_short Global aphasia without hemiparesis: stroke or conversion disorder?
title_full Global aphasia without hemiparesis: stroke or conversion disorder?
title_fullStr Global aphasia without hemiparesis: stroke or conversion disorder?
title_full_unstemmed Global aphasia without hemiparesis: stroke or conversion disorder?
title_sort Global aphasia without hemiparesis: stroke or conversion disorder?
author Negreiros, Daniel Philippi de
author_facet Negreiros, Daniel Philippi de
Fregni, Felipe
Scalco, Andréia Zavaloni
author_role author
author2 Fregni, Felipe
Scalco, Andréia Zavaloni
author2_role author
author
dc.contributor.author.fl_str_mv Negreiros, Daniel Philippi de
Fregni, Felipe
Scalco, Andréia Zavaloni
dc.subject.por.fl_str_mv Acidente cerebrovascular
transtorno conversivo
afasia
diagnóstico diferencial
serviços médicos de emergência
cerebrovascular accident
conversion disorder
aphasia
diagnosis differential
emergency medical services
topic Acidente cerebrovascular
transtorno conversivo
afasia
diagnóstico diferencial
serviços médicos de emergência
cerebrovascular accident
conversion disorder
aphasia
diagnosis differential
emergency medical services
description BACKGROUND: The neurologic and psychiatric diagnosis in emergency settings are difficult tasks and require interdisciplinary effort. Conversion disorder is one of the differential diagnosis for certain neurologic disorders. The main characteristic is motor or sensory deficits suggesting neurologic or medical condition, but without organic disease that explains the symptoms. CASE REPORT: We present a 23 year-old-woman with an atypical clinical presentation of stroke: global aphasia without hemiparesis. This patient was initially diagnosed with conversion disorder by the internal medicine service in the emergency room. CONCLUSION: Some rare neurologic diseases can be interpreted as conversive disorders due to some reasons: clinical similarities between the two disorders, unusual clinical presentations, comorbidity of neurologic and psychiatric disorders and psychological features of the neurological patients. Patients presenting with atypical neurological or psychiatric symptoms, in which a diagnosis of conversion disorder is suspected, should always be investigated in an interdisciplinary setting.
publishDate 2007
dc.date.none.fl_str_mv 2007-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/acp/article/view/17150
10.1590/S0101-60832007000100004
url https://www.revistas.usp.br/acp/article/view/17150
identifier_str_mv 10.1590/S0101-60832007000100004
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/acp/article/view/17150/19157
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria
dc.source.none.fl_str_mv Revista de Psiquiatria Clínica; Vol. 34 Núm. 1 (2007); 23-27
Archives of Clinical Psychiatry; v. 34 n. 1 (2007); 23-27
Archives of Clinical Psychiatry; Vol. 34 No. 1 (2007); 23-27
1806-938X
0101-6083
reponame:Archives of Clinical Psychiatry
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Archives of Clinical Psychiatry
collection Archives of Clinical Psychiatry
repository.name.fl_str_mv Archives of Clinical Psychiatry - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||archives@usp.br
_version_ 1787713902111358976

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