Аннотация:
According to current criteria, diagnosis of psychogenic motor deficit is based on tests providing objective recordings of movements in pseudoparalyzed limbs. We report here a patient with Munchausen’s syndrome and psychogenic paralysis in the left arm, who was studied using polysomnography, electromyography, and video recordings of movement activity during sleep, which showed movements in the pseudoparalyzed left limb. In addition, there were decreases in movement activity during sleep in the whole of the left side of the body, which were especially severe in the pseudoparalyzed arm. The possibility of using recordings during sleep for the diagnosis of psychogenic motor defect is discussed. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.
Ключевые слова:
hysteria; movement activity; polysomnography; psychogenic paresis; sleep
spasmolytic agent; adult; alcohol abuse; angina pectoris; aortic regurgitation; aortic valve disease; arm weakness; Article; asthenoneurotic syndrome; auditory hallucination; battle injury; blood pressure measurement; brain disease; burning sensation; case report; cerebrovascular accident; cervical disk hernia; clinical article; consciousness disorder; conversion disorder; coordination disorder; coronary angiography; coughing; disease severity; dyscirculatory encephalopathy; dyspnea; echocardiography; electric shock; electromyogram; electromyography; elevated blood pressure; faintness; gastroenteritis; headache; heart failure; heart palpitation; hemiparesis; Holter monitoring; hospital admission; human; hyperhidrosis; hypertension; hyperventilation syndrome; intermittent claudication; ischemic heart disease; leukoaraiosis; limb movement; limb weakness; livedo reticularis; male; middle aged; motor activity; motor dysfunction; multiple sclerosis; Munchausen syndrome; nephroptosis; neurol
Dyukova G. M. Galina Moiseevna 1942-
Polue`ktov M. G. Mikhail Guryevich 1969-
Golubev V. L. Valerij Leonidovich 1939-
Efetova L. E. Liliya Evgenyevna 1982-
Tsenteradze S. L. Sergo Levanovich 1986-
Дюкова Г. М. Галина Моисеевна 1942-
Полуэктов М. Г. Михаил Гурьевич 1969-
Голубев В. Л. Валерий Леонидович 1939-
Ефетова Л. Е. Лилия Евгеньевна 1982-
Центерадзе С. Л. Серго Леванович 1986-
Motor Activity in Psychogenic Paralysis Recorded Using Polysomnography (a clinical case)
Текст визуальный непосредственный
Neuroscience and Behavioral Physiology
Springer New York Consultants Bureau
Vol.49, Issue1 P. 69-74
2019
Статья
hysteria movement activity polysomnography psychogenic paresis sleep
spasmolytic agent adult alcohol abuse angina pectoris aortic regurgitation aortic valve disease arm weakness Article asthenoneurotic syndrome auditory hallucination battle injury blood pressure measurement brain disease burning sensation case report cerebrovascular accident cervical disk hernia clinical article consciousness disorder conversion disorder coordination disorder coronary angiography coughing disease severity dyscirculatory encephalopathy dyspnea echocardiography electric shock electromyogram electromyography elevated blood pressure faintness gastroenteritis headache heart failure heart palpitation hemiparesis Holter monitoring hospital admission human hyperhidrosis hypertension hyperventilation syndrome intermittent claudication ischemic heart disease leukoaraiosis limb movement limb weakness livedo reticularis male middle aged motor activity motor dysfunction multiple sclerosis Munchausen syndrome nephroptosis neurol
According to current criteria, diagnosis of psychogenic motor deficit is based on tests providing objective recordings of movements in pseudoparalyzed limbs. We report here a patient with Munchausen’s syndrome and psychogenic paralysis in the left arm, who was studied using polysomnography, electromyography, and video recordings of movement activity during sleep, which showed movements in the pseudoparalyzed left limb. In addition, there were decreases in movement activity during sleep in the whole of the left side of the body, which were especially severe in the pseudoparalyzed arm. The possibility of using recordings during sleep for the diagnosis of psychogenic motor defect is discussed. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.