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CASE REPORT
J Korean Sleep Res Soc. 2009;6(1):60-62.         doi: https://doi.org/10.13078/jksrs.09012
A Case of Psychogenic Paraplegia Documented During Sleep by Video Monitoring
Hyung-Geun Oh1, Kyeong-Seok Lee2, Hyung-Kook Park1, and Kwan-Ik Yang1
1Department of Neurology, College of Medicine, Soonchunhyang University, Cheonan Hospital, Cheonan, Korea
2Department of Neurosurgery, College of Medicine, Soonchunhyang University, Cheonan Hospital, Cheonan, Korea
Corresponding Author: Kwan-Ik Yang ,Tel: +82-41-570-2290, Fax: +82-41-579-9021, Email: kiyang@sch.ac.kr
Received: 10 June 2009;  Accepted: 24 June 2009.
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ABSTRACT
Psychogenic paraplegia is an uncommon conversion disorder characterized by nonorganic loss of motor function precipitated by some type of traumatic event. A 60-year-old man was referred from neurosurgery department with the chief complaint of paraplegia. One year ago he was involved in a motor vehicle accident. Whole spine magnetic resonance imaging (MRI) and electrophysiological study couldn’t explain the organic cause of paraplegia. We decided to observe him during his sleep as we suspected a psychogenic cause for the symptoms. Irregular, non-stereotyped and involuntary leg movements were documented during sleep by video monitoring, and he was diagnosed as psychogenic paraplegia. In conclusion, if a psychogenic paraplegia is suspected, video monitoring during sleep could be recommended as a differentiation tool from neurological disorder.
Keywords: Psychogenic paraplegia | Video monitoring
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