A case report of dissociative conversion disorder primarily manifesting as intermittent fainting accompanied by myoclonic seizures

doi:10.3969/j.issn.1674-8115.2024.08.016

Journal of Shanghai Jiao Tong University (Medical Science) ›› 2024, Vol. 44 ›› Issue (8): 1056-1060.doi: 10.3969/j.issn.1674-8115.2024.08.016

• Case report • Previous Articles

A case report of dissociative conversion disorder primarily manifesting as intermittent fainting accompanied by myoclonic seizures

TANG Peiyuan¹(), WANG Chongze¹, HONG Wu¹, FEI Hui¹, YI Zhenghui¹^,²^,³, LÜ Qinyu¹^,²()

^1.Division of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China
^2.Department of Psychiatry, Huashan Hospital, Fudan University, Shanghai 200040, China
^3.Institute of Mental Health, Fudan University, Shanghai 200040, China

Received:2024-01-22 Accepted:2024-04-10 Online:2024-08-28 Published:2024-08-27
Contact: Lü Qinyu E-mail:18211140007@fudan.edu.cn;lvqinyu_louis@163.com
Supported by:
Science and Technology Innovation 2030 Major Program on Brain Science and Brain?like Research(2022ZD0208500)

Abstract

Abstract:

The characteristic features of dissociative conversion disorder entail a partial or complete loss of normal integration in memory, identity awareness, immediate sensation, and motor control. This article documents a case of the disorder presenting with an onset of depressive mood, diminished interest, and facial tics, subsequently accompanied by intermittent fainting spells with limb convulsions. Despite multiple consultations in both general hospitals and psychiatric settings, and despite treatment with various antidepressants and antiepileptic medications, the patient's symptoms showed no significant improvement. The report of this case deepens the understanding of a complex and commonly misdiagnosed condition, offering valuable insights for the diagnosis and treatment of patients exhibiting similar symptoms.

Key words: dissociative conversion disorder, profound lugubriousness, intermitting fainting spells, diagnostic and therapeutic approach

CLC Number:

R749.05

TANG Peiyuan, WANG Chongze, HONG Wu, FEI Hui, YI Zhenghui, LÜ Qinyu. A case report of dissociative conversion disorder primarily manifesting as intermittent fainting accompanied by myoclonic seizures[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2024, 44(8): 1056-1060.

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References 7

1	SELLBOM M. The MMPI-2-Restructured Form (MMPI-2-RF): Assessment of Personality and Psychopathology in the Twenty-First Century[J]. Annu Rev Clin Psychol, 2019, 15: 149-177.
2	World Health Organization. The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines[M]. Geneva: World Health Organization, 1992.
3	江开达. 精神病学[M]. 第2版. 北京: 人民卫生出版社, 2010.
	JIANG K D. Textbook of psychiatry [M] 2nd ed. Beijing: People's Medical Publishing House, 2010.
4	SASIKUMAR S, STRAFELLA A P. The neuroimaging evidence of brain abnormalities in functional movement disorders[J]. Brain, 2021, 144(8): 2278-2283.
5	MORSY S K, AYBEK S, CARSON A, et al. The relationship between types of life events and the onset of functional neurological (conversion) disorder in adults: a systematic review and meta-analysis[J]. Psychol Med, 2022, 52(3): 401-418.
6	CHATURVEDI S K, DESAI G, SHALIGRAM D. Dissociative disorders in a psychiatric institute in India--a selected review and patterns over a decade[J]. Int J Soc Psychiatry, 2010, 56(5): 533-539.
7	尹豆, 王含, 张玉虎, 等. 功能性运动障碍的诊断与治疗中国专家共识[J]. 重庆医科大学学报, 2021, 46(7): 732-736.
	YIN D,WANG H,ZHANG Y H,et al. Chinese expert consensus on the diagnosis and treatment of functional movement disorders[J]. Journal of Chongqing Medical University, 2021, 46(7): 732-736.

Variable	T score
Response inconsistency	5
L (lie)	43
F (infrequency)	64*
K (defensiveness)	40
Hs (hypochondriasis)	62*
D (depression)	47
Hy (hysteria)	57
Pa (paranoia)	61*
Pd (psychopathic deviate)	49
Mf (masculinity-femininity)	70*
Pt (psychasthenia)	65*
Sc (schizophrenia)	58
Ma (hypomania)	58
Si (social introversion)	48

Variable	T score
Response inconsistency	5
L (lie)	43
F (infrequency)	64*
K (defensiveness)	40
Hs (hypochondriasis)	62*
D (depression)	47
Hy (hysteria)	57
Pa (paranoia)	61*
Pd (psychopathic deviate)	49
Mf (masculinity-femininity)	70*
Pt (psychasthenia)	65*
Sc (schizophrenia)	58
Ma (hypomania)	58
Si (social introversion)	48

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A case report of dissociative conversion disorder primarily manifesting as intermittent fainting accompanied by myoclonic seizures

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