[Polysomnographic as a therapeutic aid in of psychogenic-functioning paraplegia].
The case of a patient with complete sensory and motor paraplegia for more than 1 year is presented. Leg movements were documented during sleep by video and electromyographic recording because a psychogenic cause of the symptoms was suspected. We showed the video to the patient, which illustrated that leg movements were possible. This resulted in fast and complete resolution of the neurologic symptoms. The patient has now been free of them for more than 3 years. This example suggests that the achievement of consciousness of normal motor function is a therapeutic approach for long-standing improvement of psychogenic paralysis.
Jahn
K
K
Neurologische Klinik und Poliklinik, Klinikum der Universität München, Standort Grosshadern, Marchioninistrasse 15, 81377 München. klaus.jahn@med.uni-muenchen.de
Arnold
S
S
Zingler
V C
VC
Strupp
M
M
Brandt
T
T
D000328:Adult; D001676:Biofeedback, Psychology / Q000379:methods*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D006801:Humans; D008297:Male; D010264:Paraplegia / Q000175:diagnosis* / Q000628:therapy*; D017286:Polysomnography / Q000379:methods*; D011602:Psychophysiologic Disorders / Q000175:diagnosis / Q000628:therapy*; D016896:Treatment Outcome