• Southern medical journal · Jul 2000

    Case Reports

    Paraplegia diagnosed by a new physical sign.

    • A M Karnik and M S Hussain.
    • Department of Medicine, Nassau County Medical Center, East Meadow, NY 11554, USA.
    • South. Med. J. 2000 Jul 1; 93 (7): 724-5.

    AbstractClinical diagnosis is a process of logical deduction from the data gathered by history and physical examination. When organic causes of an illness have been ruled out, a diagnosis of "functional disorder" or "conversion reaction" is considered. Cost of care of such patients can be enormous, especially when a large number of investigations are done to find an organic illness, which does not really exist. In such cases, a positive and early diagnosis of a conversion reaction can save needless tests and much distress to the patient. This report describes a case of paraplegia that was investigated for years before a diagnosis of conversion reaction was firmly made, based on a novel observation. We believe that we describe here a new physical sign, which can be used to diagnose "hysterical paraplegia."

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