Volume 10, Issue 1 (vol- 1 2004)                   Intern Med Today 2004, 10(1): 31-37 | Back to browse issues page

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Vafaee B, Rejaii H, Nazemi A. The study patterns of clinical manifestations in 100 patients with conversion disorders in Azarbaijan Culture. Intern Med Today 2004; 10 (1) :31-37
URL: http://imtj.gmu.ac.ir/article-1-256-en.html
Abstract:   (14629 Views)
Background and Aim: The variable and polymorphic manifestations of conversion disorders also called hysteria, have occupied physicians for some 1500 years. This study was to evaluate the clinical patterns of these manifestations in patients with such disorders in Azarbaijan culture and to follow up them in a one – year period. Material and Methods: In this prospective descriptive- experimental study, we approached 100 patients with conversion disorders. After preliminary evaluations, general medical had problems and hysteria – like psychiatric disorder been diagnosed on the basis of the creteria introduced in DSM-IV resulting in the previous exclusion of their cases from the study. All of the 100 patients selected to be studied were thoroughly examined medically, neurologically and psychiatrically. Results: The most common pattern observed in these patients was drop attack, accounting for 31% of all cases, followed by pareses and plegias in the second rank (29%) and then by pseudo seizures were observed in 26% of the cases. Familial stress was the most common predisposing factor, observed in 38 cases (38%), followed by occupational stress (20%), loss stress (16%) and problems related to sexuality and infertility. Personality disorders (37%) particularly histrionic personality, were the most prevalent disorders observed in patients with conversion disorders during preliminary regulations General medical comdilion (GMC) with conversion disorder was 10% and neurological disorders with conversion disorder was 2.4%. Conclusion: Based on the Findings of this study and Considering the fact that about one-third of hysteria, patients are subsequently diagnosed as cases of organic disease such as epilepsy, sudden paralysis myasthenia gravis, thyroid myopathy, and polymosis it will be prudent to avoid hastliness and fanatic attitudes in dealing with this psycho pattoloical entity.
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Type of Study: Original | Subject: Internal Medicine
Received: 2008/07/24 | Published: 2004/04/15

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