Conversion disorder in a neurological emergency department: Restrospective series
Objective: To observe the conversion disorder in a neurological emergency department. Methods: It is common that the initial approach to this patients include the use of various diagnostic exams. In this series we reviewed 94 patients that arrived a neurological emergency room in a 3 year period.Res...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2017-01-01
|
| Series: | Journal of Acute Disease |
| Subjects: | |
| Online Access: | http://www.jadweb.org/article.asp?issn=2221-6189;year=2017;volume=6;issue=5;spage=218;epage=221;aulast=Cardozo |
| _version_ | 1819073587122798592 |
|---|---|
| author | Alejandro Cardozo Maria-Alejandra Rubiano Giovanny Garces Jaime-Andres Giraldo Jose Bareño |
| author_facet | Alejandro Cardozo Maria-Alejandra Rubiano Giovanny Garces Jaime-Andres Giraldo Jose Bareño |
| author_sort | Alejandro Cardozo |
| collection | DOAJ |
| description | Objective: To observe the conversion disorder in a neurological emergency department. Methods: It is common that the initial approach to this patients include the use of various diagnostic exams. In this series we reviewed 94 patients that arrived a neurological emergency room in a 3 year period.Results: 72 patients were females (76%), and the initial presumptive diagnosis were: neurovascular syndrome in 36 patients (38.3%), convulsive disorder in 20 patients (21.28%), and conversive disorder in 8 patients (8.51%). 82 patients had motor symptoms and 61 sensitive symptoms. 88 patients (93%) required neuroimaging studies, 77 (81%) patients underwent through basic biochemical panels. Other tests performed were: electroencephalogram in 12 patients (12.77%), electromyography in 11 patients (11.7%), lumbar punction in 8 patients (8.04%) and regarding the medical consult in the care of these patients 11 were evaluated by 1 specialists, 35 (37.2%) by 2 different specialties, 42 (44.63%) patients required evaluation by 3, and 6 patients (6.38%) required evaluation by 4 different specialties.Conclusions: Based on this data, we conclude that conversion disorders require a lot of resources in the emergency room and that the similarities with neurological diseases demands a complete workup including expensive diagnostic tools. However, this patients can be discharged safely without requiring hospitalization. |
| first_indexed | 2024-12-21T17:55:59Z |
| format | Article |
| id | doaj.art-2c6b85376fe74cf69fedf5d5e8268ac9 |
| institution | Directory Open Access Journal |
| issn | 2221-6189 2589-5516 |
| language | English |
| last_indexed | 2024-12-21T17:55:59Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Acute Disease |
| spelling | doaj.art-2c6b85376fe74cf69fedf5d5e8268ac92022-12-21T18:55:13ZengWolters Kluwer Medknow PublicationsJournal of Acute Disease2221-61892589-55162017-01-016521822110.4103/2221-6189.219617Conversion disorder in a neurological emergency department: Restrospective seriesAlejandro CardozoMaria-Alejandra RubianoGiovanny GarcesJaime-Andres GiraldoJose BareñoObjective: To observe the conversion disorder in a neurological emergency department. Methods: It is common that the initial approach to this patients include the use of various diagnostic exams. In this series we reviewed 94 patients that arrived a neurological emergency room in a 3 year period.Results: 72 patients were females (76%), and the initial presumptive diagnosis were: neurovascular syndrome in 36 patients (38.3%), convulsive disorder in 20 patients (21.28%), and conversive disorder in 8 patients (8.51%). 82 patients had motor symptoms and 61 sensitive symptoms. 88 patients (93%) required neuroimaging studies, 77 (81%) patients underwent through basic biochemical panels. Other tests performed were: electroencephalogram in 12 patients (12.77%), electromyography in 11 patients (11.7%), lumbar punction in 8 patients (8.04%) and regarding the medical consult in the care of these patients 11 were evaluated by 1 specialists, 35 (37.2%) by 2 different specialties, 42 (44.63%) patients required evaluation by 3, and 6 patients (6.38%) required evaluation by 4 different specialties.Conclusions: Based on this data, we conclude that conversion disorders require a lot of resources in the emergency room and that the similarities with neurological diseases demands a complete workup including expensive diagnostic tools. However, this patients can be discharged safely without requiring hospitalization.http://www.jadweb.org/article.asp?issn=2221-6189;year=2017;volume=6;issue=5;spage=218;epage=221;aulast=CardozoConversion disorderNeurological symptomsClinical |
| spellingShingle | Alejandro Cardozo Maria-Alejandra Rubiano Giovanny Garces Jaime-Andres Giraldo Jose Bareño Conversion disorder in a neurological emergency department: Restrospective series Journal of Acute Disease Conversion disorder Neurological symptoms Clinical |
| title | Conversion disorder in a neurological emergency department: Restrospective series |
| title_full | Conversion disorder in a neurological emergency department: Restrospective series |
| title_fullStr | Conversion disorder in a neurological emergency department: Restrospective series |
| title_full_unstemmed | Conversion disorder in a neurological emergency department: Restrospective series |
| title_short | Conversion disorder in a neurological emergency department: Restrospective series |
| title_sort | conversion disorder in a neurological emergency department restrospective series |
| topic | Conversion disorder Neurological symptoms Clinical |
| url | http://www.jadweb.org/article.asp?issn=2221-6189;year=2017;volume=6;issue=5;spage=218;epage=221;aulast=Cardozo |
| work_keys_str_mv | AT alejandrocardozo conversiondisorderinaneurologicalemergencydepartmentrestrospectiveseries AT mariaalejandrarubiano conversiondisorderinaneurologicalemergencydepartmentrestrospectiveseries AT giovannygarces conversiondisorderinaneurologicalemergencydepartmentrestrospectiveseries AT jaimeandresgiraldo conversiondisorderinaneurologicalemergencydepartmentrestrospectiveseries AT josebareno conversiondisorderinaneurologicalemergencydepartmentrestrospectiveseries |