• J Clin Psychiatry · Jan 1978

    Case Reports

    Hysterical symptoms masking brain stem glioma.

    • E A Burch, C F Hutchison, and C N Still.
    • J Clin Psychiatry. 1978 Jan 1;39(1):75-8.

    AbstractTo function effectively as primary care specialists, psychiatrists must remain ever alert to the possibility of organic disorders in patients who at first show only psychiatric symptoms. A case is presented in which hysterical overlay led to misdiagnosis in a 31 year woman, who dies of a diffuse medullary glioma 3 1/2 years after onset of "conversion" symptoms. The authors point out how the label "hysterical" clouds longitudinal objective diagnostic observations especially when initial clinical and laboratory data fail to support a definitive organic diagnosis.

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