Parapleji ile Bulgu Veren Konversiyon Bozukluğu
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Tarih
2020
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Parapleji iki bacakta hareket ve/veya his yeteneğinin kaybıdır, etiyolojisinde organik ve psikiyatrik nedenler rol alır. Bu makalede alt ekstremitedeani gelişen güç kaybı, his kaybı ve buna bağlı yürüyememe şikayetleri ile acil servise getirilen ve organik etiyoloji açısından takip edilen, yapılanfizik muayene, tetkik ve görüntüleme sonuçlarında herhangi bir organik patoloji saptanmayan ve bu süreçte çocuk ergen ruh sağlığı birimincedeğerlendirilerek yaygın anksiyete bozukluğu ve konversiyon bozukluğu (KB) tanısı konulan 14 yaşında bir kız hasta sunularak, nörolojikbozuklukları taklit eden ve KB’nin bir alt tipi olan paraplejinin çocuk ve adölesan hastalarda KB’nin nadir bir bulgusu olabileceği vurgulanmakistenmiştir. Ayrıca bu tür olguların değerlendirme ve takip süreçlerinin çocuk sağlığı ve çocuk ergen ruh sağlığı birimlerince multidisipliner biryaklaşımla ele alınmaları gerektiği göz önünde bulundurulmalıdır.
Paraplegia is a loss of movement and/or sensation of the two legs, and organic and psychiatric causes are involved in its etiology. In this article, a 14-year-old girl with sudden loss of power in the lower extremity and loss of sensation and related complaints, who was admitted to the emergency department and followed up in terms of organic etiology, was presented. She was diagnosed with generalized anxiety disorder and conversion disorder (CD) by childhood mental health unit and she did not have any organic pathology in the results of physical examination. It is desirable to emphasize that CD may be a rare finding in children and adolescents with paraplegia. In addition, it should be considered that the evaluation and follow-up processes of such cases should be addressed in a multidisciplinary approach by child health and children’s mental health unit.
Paraplegia is a loss of movement and/or sensation of the two legs, and organic and psychiatric causes are involved in its etiology. In this article, a 14-year-old girl with sudden loss of power in the lower extremity and loss of sensation and related complaints, who was admitted to the emergency department and followed up in terms of organic etiology, was presented. She was diagnosed with generalized anxiety disorder and conversion disorder (CD) by childhood mental health unit and she did not have any organic pathology in the results of physical examination. It is desirable to emphasize that CD may be a rare finding in children and adolescents with paraplegia. In addition, it should be considered that the evaluation and follow-up processes of such cases should be addressed in a multidisciplinary approach by child health and children’s mental health unit.
Açıklama
Anahtar Kelimeler
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Kaynak
Çocuk ve Gençlik Ruh Sağlığı Dergisi
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Cilt
27
Sayı
2
