Dissociative disorder in Mayer Rokitansky Küster Hauser syndrome with pulmonary agenesis: a case report
Abstract Background The Mayer Rokitansky Küster Hauser (MRKH) syndrome is a rare congenital disorder characterized by the absence of uterus and vagina in a patient who is phenotypically a female, with 46 XX karyotypes. It affects 1 in 4000 to 5000 female new-borns. Pulmonary agenesis is a rare assoc...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-01-01
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| Series: | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s41983-021-00440-y |
| _version_ | 1798034555097055232 |
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| author | Sulochana Joshi Anup Raj Bhandari Prashant Shrestha Rabi Shakya |
| author_facet | Sulochana Joshi Anup Raj Bhandari Prashant Shrestha Rabi Shakya |
| author_sort | Sulochana Joshi |
| collection | DOAJ |
| description | Abstract Background The Mayer Rokitansky Küster Hauser (MRKH) syndrome is a rare congenital disorder characterized by the absence of uterus and vagina in a patient who is phenotypically a female, with 46 XX karyotypes. It affects 1 in 4000 to 5000 female new-borns. Pulmonary agenesis is a rare association in this MRKH syndrome. Females with MRKH face various mental health issues and psychological disturbances, including dissociative disorder which is a stress-related psychiatric disorder. Dissociative disorder in MRKH syndrome is under-recognized and under-treated. Case presentation A 23-year-old unmarried woman presented to the emergency forabnormal behaviour attack. Recurrent episodes of dissociative convulsions were present most of the time with MRKH syndrome as the pertinent stressor. Both antidepressants and psychotherapy helped to decrease the frequency of dissociative convulsions and come interms with the syndrome. Conclusion This case describes dissociative disorder as the presentation and comorbid condition of MRKH syndrome and the impact of MRKH syndrome on the patient. We attempt to explain the occurrence of dissociative disorder in MRKH syndrome and the results of under-recognition and under-treatment of the same. We aim to highlight the presence of commonly treatable conditions associated with a rare syndrome and its effect when untreated and unrecognized. |
| first_indexed | 2024-04-11T20:45:51Z |
| format | Article |
| id | doaj.art-fbca5fceea01475e88064e60319af1ec |
| institution | Directory Open Access Journal |
| issn | 1687-8329 |
| language | English |
| last_indexed | 2024-04-11T20:45:51Z |
| publishDate | 2022-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
| spelling | doaj.art-fbca5fceea01475e88064e60319af1ec2022-12-22T04:04:03ZengSpringerOpenThe Egyptian Journal of Neurology, Psychiatry and Neurosurgery1687-83292022-01-015811410.1186/s41983-021-00440-yDissociative disorder in Mayer Rokitansky Küster Hauser syndrome with pulmonary agenesis: a case reportSulochana Joshi0Anup Raj Bhandari1Prashant Shrestha2Rabi Shakya3Department of Psychiatry, Patan Academy of Health SciencesDepartment of Psychiatry, Patan Academy of Health SciencesDepartment of Gynaecology and Obstetrics, Patan Academy of Health SciencesDepartment of Psychiatry, Patan Academy of Health SciencesAbstract Background The Mayer Rokitansky Küster Hauser (MRKH) syndrome is a rare congenital disorder characterized by the absence of uterus and vagina in a patient who is phenotypically a female, with 46 XX karyotypes. It affects 1 in 4000 to 5000 female new-borns. Pulmonary agenesis is a rare association in this MRKH syndrome. Females with MRKH face various mental health issues and psychological disturbances, including dissociative disorder which is a stress-related psychiatric disorder. Dissociative disorder in MRKH syndrome is under-recognized and under-treated. Case presentation A 23-year-old unmarried woman presented to the emergency forabnormal behaviour attack. Recurrent episodes of dissociative convulsions were present most of the time with MRKH syndrome as the pertinent stressor. Both antidepressants and psychotherapy helped to decrease the frequency of dissociative convulsions and come interms with the syndrome. Conclusion This case describes dissociative disorder as the presentation and comorbid condition of MRKH syndrome and the impact of MRKH syndrome on the patient. We attempt to explain the occurrence of dissociative disorder in MRKH syndrome and the results of under-recognition and under-treatment of the same. We aim to highlight the presence of commonly treatable conditions associated with a rare syndrome and its effect when untreated and unrecognized.https://doi.org/10.1186/s41983-021-00440-yDissociative disorderMayer Rokitansky Küster Hauser syndromePsychological disturbanceTreatmentCase report |
| spellingShingle | Sulochana Joshi Anup Raj Bhandari Prashant Shrestha Rabi Shakya Dissociative disorder in Mayer Rokitansky Küster Hauser syndrome with pulmonary agenesis: a case report The Egyptian Journal of Neurology, Psychiatry and Neurosurgery Dissociative disorder Mayer Rokitansky Küster Hauser syndrome Psychological disturbance Treatment Case report |
| title | Dissociative disorder in Mayer Rokitansky Küster Hauser syndrome with pulmonary agenesis: a case report |
| title_full | Dissociative disorder in Mayer Rokitansky Küster Hauser syndrome with pulmonary agenesis: a case report |
| title_fullStr | Dissociative disorder in Mayer Rokitansky Küster Hauser syndrome with pulmonary agenesis: a case report |
| title_full_unstemmed | Dissociative disorder in Mayer Rokitansky Küster Hauser syndrome with pulmonary agenesis: a case report |
| title_short | Dissociative disorder in Mayer Rokitansky Küster Hauser syndrome with pulmonary agenesis: a case report |
| title_sort | dissociative disorder in mayer rokitansky kuster hauser syndrome with pulmonary agenesis a case report |
| topic | Dissociative disorder Mayer Rokitansky Küster Hauser syndrome Psychological disturbance Treatment Case report |
| url | https://doi.org/10.1186/s41983-021-00440-y |
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