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A college student previously in good health, develops transient bladder incontinence...

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asked Dec 14, 2016 in Psychiatry by Rajesh Bahara
A college student previously in good health, develops transient bladder incontinence. Three months later, after breaking up with her boyfriend, she presents to her doctor’s office complaining of weakness of the right leg. What medical disorder, often confused with conversion disorder, is likely to have such presentation?

a. Myasthenia gravis
b. Guillain-Barré syndrome
c. Brain tumor
d. Creutzfeldt-Jakob disease
e. Multiple sclerosis

1 Answer

+1 vote
 
Best answer
e. Multiple sclerosis

The answer is e. (Sadock, 7/e, pp 1505–1511, 299–300.)
Many serious neurological disorders can be mistaken for conversion disorder. The differential diagnosis can be particularly challenging with multiple sclerosis, a disorder also characterized by the sudden appearance of neurological symptoms that, at least in the beginning, often resolve spontaneously. Other causes of possible diagnostic confusion are the fact that symptoms in multiple sclerosis may be precipitated by stress and that multiple sclerosis, like conversion disorder, is more frequent in women.
answered Dec 14, 2016 by Rajesh Bahara
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