Pisa syndrome mistaken for conversion in an adolescent.
We present a case of acute dystonia in an adolescent, with features that fit the description of the Pisa syndrome. The symptoms developed postoperatively, in a non-psychiatric setting, following administration of antiemetic medication, and the phenomenon was misdiagnosed as a conversion disorder. This case reinforces previous reports cautioning against misinterpretation of dystonic reactions as functional disorders, especially in children and adolescents.
Fichtner
C G
CG
Loyola University Stritch School of Medicine, Illinois 60141.
Pechter
B M
BM
Jobe
T H
TH
D000293:Adolescent; D000932:Antiemetics / Q000009:adverse effects*; D003291:Conversion Disorder / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004421:Dystonia / Q000139:chemically induced* / Q000175:diagnosis; D005260:Female; D006801:Humans; D011183:Postoperative Complications
D000932:Antiemetics