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Year : 2015  |  Volume : 3  |  Issue : 1  |  Page : 61-63

A unique presentation of monoplegia in an adult male

Department of Neurology, King Fahd Hospital of the University, Al-Khobar, University of Dammam, Saudi Arabia

Correspondence Address:
Fahd A Alkhamis
Department of Neurology, King Fahd Hospital of The University, P.O.Box 2208, Al-Khobar 31952
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1658-631X.149687

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This is a report of a 34-year-old Saudi male who presented to the emergency department of a university hospital in the Kingdom of Saudi Arabia with a 2-day history of sudden left leg weakness and inability to walk. The history was insignificant except for the death of his brother 3 days prior to the onset. His general medical and neurological examinations, lab works, neuroimaging, and electrophysiological studies were all within normal limits. The possibility of a conversion reaction precipitated by grief was considered. Psychiatric evaluation confirmed the diagnosis of a dissociative (conversion) motor disorder. The patient made steady improvement with cognitive behavioral therapy. The possibility of psychogenic origin should be considered in patients presenting with sudden gross neurological symptoms.

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