Conversion disorder after implant of a spinal cord stimulator in a patient with a complex regional pain syndrome.
This case history describes the treatment of a patient suffering with persistent pain. He was treated surgically with implantation of a spinal cord stimulator. After surgery, a partial paralysis that could not be explained medically and that was probably related to emotional factors occurred, and cognitive behavioral treatment was begun. This paper discusses the importance of considering social and psychological factors when medical treatment options are considered.
Parisod
Eric
E
University of Sydney, Pain Management & Research Centre, Royal North Shore Hospital, St. Leonards, Australia.
Murray
Robin F
RF
Cousins
Michael J
MJ
D000328:Adult; D015928:Cognitive Behavioral Therapy; D003291:Conversion Disorder / Q000209:etiology* / Q000523:psychology / Q000628:therapy; D004185:Disability Evaluation; D004599:Electric Stimulation Therapy / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D008297:Male; D010146:Pain / Q000523:psychology; D059408:Pain Management; D011569:Psychiatric Status Rating Scales; D012019:Reflex Sympathetic Dystrophy / Q000150:complications*; D013116:Spinal Cord / Q000502:physiology*; D011795:Surveys and Questionnaires; D014954:Wrist Injuries / Q000150:complications / Q000601:surgery