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PubMed1990

Childhood conversion reactions in the emergency department: Part II--General and specific features.

Unexplained somatic symptoms present difficult problems for the emergency physician. Conversion reactions as etiologies for such symptoms can be assessed by using a biopsychosocial framework that has been previously described. To make the diagnosis of conversion reaction, an assortment of positive psychosocial findings in the face of negative organic findings is usually required. This paper describes general features of childhood conversion reactions and specific discriminative findings between organic and conversion etiologies for some of the more common presentations of conversion reactions.

Child↗
PubMed1996

Pseudoseizures in the pediatric emergency department.

We report 10 cases of children with pseudoseizures who presented to a pediatric emergency department. Half of the patients were teenagers and seven were female. None of the patients had incontinence, and none was injured during the "seizure." All but one patient had invasive procedures or laboratory tests performed in the emergency department, and six of 10 patients were given anticonvulsants. Pseudoseizures are often confused with generalized tonic-clonic seizures.

Adolescent↗
PubMedDate not supplied

Psychogenic purpura: report of a case.

Autoerythrocyte sensitization, a disease characterized by recurrent and painful ecchymoses, was renamed psychogenic purpura by Agle and Ratnoff in 1968. The patients, usually female, share certain described personality characteristics. The case is reported of a 20-year-old woman who had suffered from the disease since age 12. She was treated for 3 years in intensive psychotherapy resulting in a complete remission of her symptoms of bleeding.

Adult↗
PubMed1980

Atypical bleeding in hemophilia: application of the conversion model to the case study of a child.

Although it has been suggested that psychosocial events may trigger bleeding in patients with hemophilia, few specific instances have been described. In this report we interpret a series of atypical bleeding episodes in a child with a factor VIII deficiency. Although the specific pathophysiologic events that led to bleeding into the elbow are unknown in this child, they are probably similar to those of "psychogenic purpura." It is likely that these episodes of atypical bleeding can be interpreted in terms of conversion model and that conversion reactions in children required involvement by at least one parent.

Adolescent↗
PubMed1981

Reversal of Urinary tract diversion after recovery from hysterical conversion reaction.

We have described a case in which the diagnosis of multiple sclerosis with findings of progressive paraplegia and a neurogenic bladder led to supravesical urinary diversion. Pyocystis led to creation of a urethrovesicovaginal fistula. Psychotherapy later uncovered hysterical conversion reaction. Which was cured with hypnotherapy. The urinary tract diversion was subsequently reversed after reconstruction of the bladder and urethra.

Adult↗