Journal of Shanghai Jiao Tong University (Medical Science) >

2024 , Vol. 44 >Issue 8: 1056 - 1060

DOI: https://doi.org/10.3969/j.issn.1674-8115.2024.08.016

Case report

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

  • Peiyuan TANG ,
  • Chongze WANG ,
  • Wu HONG ,
  • Hui FEI ,
  • Zhenghui YI ,
  • Qinyu Lü
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  • 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
LÜ Qinyu，E-mail：lvqinyu_louis@163.com.

Received date: 2024-01-22

  Accepted date: 2024-04-10

  Online published: 2024-08-27

Supported by

Science and Technology Innovation 2030 Major Program on Brain Science and Brain?like Research(2022ZD0208500)

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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

Cite this article

Peiyuan TANG , Chongze WANG , Wu HONG , Hui FEI , Zhenghui YI , Qinyu Lü . 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 . DOI: 10.3969/j.issn.1674-8115.2024.08.016

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