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Journal of Pediatric Neurology 2022; 20(03): 215-217
DOI: 10.1055/s-0041-1731394
Case Report

Case of Steroid-Sensitive Neuronopathy as a Differential Diagnosis to Dissociative Paralysis in Conversion Disorder

Hannes Brehme 
1   Department of Psychiatry, Neurology, Psychosomatic and Psychotherapy in Childhood and Adolescence, University of Rostock, Germany
,
Johannes Buchmann
1   Department of Psychiatry, Neurology, Psychosomatic and Psychotherapy in Childhood and Adolescence, University of Rostock, Germany
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Abstract

Neuromuscular diseases are sometimes challenging in diagnosis, often associated with progressive symptoms. In rare cases, there are treatable reasons. We report about a 11-year-old female adolescent who developed subacute progressive paralysis over nearly half a year ago. She was presented to our department as a case of psychosomatic disease. After reevaluating her diagnosis with electrophysiology, cerebrospinal fluid, magnetic resonance imaging, and even biopsy and genetic testing, we treated her with intravenous methylprednisolone. Her symptoms were retreated during 3 months, and no further signs during a 18-month follow-up appeared. No psychotherapy was necessary.

Keywords

conversion disorder - dissociative paralysis - neuromuscular disease - electrophysiology


Publication History

Received: 11 March 2021

Accepted: 04 May 2021

Article published online:
26 June 2021

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