| A Case of Psychogenic Paraplegia Documented During Sleep by Video Monitoring |
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| A Case of Psychogenic Paraplegia Documented During Sleep by Video Monitoring |
| Hyung-Geun Oh1, Kyeong-Seok Lee2, Hyung-Kook Park1, Kwan-Ik Yang1 |
1Department of Neurology, College of Medicine, Soonchunhyang University, Cheonan Hospital, Cheonan, Korea
2Department of Neurosurgery, College of Medicine, Soonchunhyang University, Cheonan Hospital, Cheonan, Korea |
| Corresponding Author:
Kwan-Ik Yang ,Tel: +82-41-570-2290, Fax: +82-41-579-9021, Email: kiyang@sch.ac.kr |
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Received: June 10, 2009 Accepted: June 24, 2009 Published online: June 30, 2009 |
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| ABSTRACT |
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Psychogenic paraplegia is an uncommon conversion disorder characterized by nonorganic loss of motor function precipitated by some
type of traumatic event. A 60-year-old man was referred from neurosurgery department with the chief complaint of paraplegia. One
year ago he was involved in a motor vehicle accident. Whole spine magnetic resonance imaging (MRI) and electrophysiological study
couldn’t explain the organic cause of paraplegia. We decided to observe him during his sleep as we suspected a psychogenic cause
for the symptoms. Irregular, non-stereotyped and involuntary leg movements were documented during sleep by video monitoring, and
he was diagnosed as psychogenic paraplegia. In conclusion, if a psychogenic paraplegia is suspected, video monitoring during sleep
could be recommended as a differentiation tool from neurological disorder. |
| Keywords:
Psychogenic paraplegia | Video monitoring |
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