[A case of convergence spasm in hysteria improved with a brief psychiatric assessment].
We report a 16-year-old female who developed double vision. The diplopia was in the horizontal plane and persisted for 3 weeks. She also complained of headache and nausea. She kept her eyes closed unless she was told to open. When eyelids were passively open, both eyes deviated inward in an adducted position. The pupil size and the reaction to light were normal. No weakness was noted in the extraocular muscles when each eye was examined individually. The rest of the neurologic examinations were normal. We thought that she had a convergence spasm. Brain CT and MRI were normal. The CSF and blood chemistries were also normal. We treated her with supportive psychotherapy and her convergence spasm disappeared. We concluded that her convergence spasm was a manifestation of conversion hysteria.
Suzuki
A
A
Department of Neurology, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan.
Mochizuki
H
H
Kajiyama
Y
Y
Kimura
M
M
Furukawa
T
T
Ichikawa
G
G
Arai
H
H
Mizuno
Y
Y
D000293:Adolescent; D003290:Convergence, Ocular; D003291:Conversion Disorder / Q000150:complications* / Q000628:therapy*; D005260:Female; D006801:Humans; D011614:Psychotherapy, Brief; D013035:Spasm / Q000209:etiology*