PubMed · 9518891
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M D O'Brien. 1998-02-21. Medically unexplained neurological symptoms.. https://doi.org/10.1136/bmj.316.7131.564
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Conversion disorder is caused by previous severe stress, emotional conflict, or an associated psychiatric disorder, and usually presents with one or more neurologic symptoms. Clinically, it is challenging to diagnose diseases such as transient ischemia attack, stroke, brain tumor, spinal cord injury, and neuropathy. In this case report, we present a male stroke patient who had a typical conversion disorder.
OBJECTIVE: Considering as example Akinesia algera - postulated in 1891 as a disease by Paul Julius Möbius, the relevance for diagnosing body-related mental disturbances will be demonstrated . METHOD: Relevant original works of Möbius and of some of his well known contemporaries for instance Kraepelin, Binswanger, Erb were explored. The correlation of the described phenomenon to current textbook doctrine has been attempted. RESULTS: Möbius, case histories, described as Akinesia algera, can be subsumed under the typology of coenästhetic schizophrenia. CONCLUSION: Akinesia algera is by primary source to be evaluated as a coenästhetic symptom and remains in daily practice a diagnostic challenge.