md-medicaldata

Authors

 

Milica Pantić¹, Marija Đurović², Nemanja Rančić<sup>3,4

1</sup>Clinic of Psychiatry University Clinical Centre Kragujevac, Faculty of medical sciences University of Kragujevac
²Psychiatry Hospital KBC “Dr Dragiša Mišović” Belgrade
³Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
⁴Center for Clinical Pharmacology, Military Medical Academy, Belgrade, Serbia

 

UDK: 616.89-008-07

The paper was received / Rad primljen: 01.09.2023.

Accepted / Rad prihvaćen: 21.10.2023.

 

Correspondence to:

Milica Pantić
e-mail: mpantic2013@gmail.com

 

 

Abstract

 

 

Introduction: Conversion disorder is characterized by the manifestation of inexplicable physical symptoms that affect voluntary motor and sensory function in such a way as to indicate the existence of a neurological disease with the presence of intrapsychic conflicts that play a significant role in the initial onset of symptoms, exacerbation and maintenance over time. Eating disorders are mentally conditioned, complex disorders with numerous complications and the highest mortality rate among all psychiatric disorders. Nodding syndrome/disease is a pediatric epileptic and progressive encephalopathy of unknown etiology that is present in several African countries. Case report: The female patient from South Sudan, initially presented for psychiatric evaluation due to mood problems and very low body weight, dietary restriction, and secondary amenorrhea. During the stay in the hospital, the clinical course of eating disorder is complicated by symptoms in the domain of neurological dysfunction, which are recognized as a conversion disorder with a potential consideration in the direction of Nodding syndrome due to the presence of a positive family anamnesis in the direction of the same. Laboratory diagnostics, CT and EEG were done and the findings were normal. Conclusion: Considering the persistence of conversion phenomena and the negative findings of the somatic examination, we conclude that the patient has a complication with presentation of conversion disorder symptoms in the field of anorexia nervosa.

 

Key words:

conversion disorder, anorexia nervosa, Nodding syndrome/disease, South Sudan, Serbia

 

 

 

Sažetak

 

Uvod: Konverzivni poremećaj se karakteriše ispoljavanjem neobjašnjivih telesnih simptoma koji zahvataju voljnu motornu i senzitivnu funkciju na takav način na ukazuju na postojanje neurološke bolesti uz prisustvo intrapsihičkih konflikata koji igraju značajnu ulogu u inicijalnom nastanku simptoma, egzacerbaciji i održavanju kroz vreme. Poremećaji u ishrani predstavljaju mentalno uslovljene, kompleksne poremećaje sa brojnim komplikacijama i najvećim mortalitetom među svim psihijatrijskim poremećajima. Nodding sindrom/bolest je pedijatrijska epileptična i progresivna encefalopatija nepoznate etiologije koja je prisutna u nekoliko afričkih zemalja.  Prikaz slučaja: Pacijentkinja, iz Južnog Sudana, inicijalno se javila na psihijatrijski pregled zbog problema sa raspoloženjem i sa jako niskom telesnom težnom, restrikcijom u ishrani i sekundarnom amenorejom. Tokom boravka u bolnici klinička slika poremećaja ishrane se kompikuje simptomima u domenu neurološke disfunkcije koji su prepoznati kao konverzivni poremećaj sa potencijalnim razmatranjem u pravcu Nodding sindroma zbog postojanja pozitivne porodične anamneze u pravcu istog. Urađena laboratorijska dijagnostika, CT i EEG nalazi su bili uredni. Zaključak: S obzirom na perzistiranje konverzivnih fenomena a uz negativne nalaze somatske pretrage, zaključujemo da je kod pacijentkinje došlo do komplikacije po tipu konverzivnog poremećaja na terenu anoreksije nervoze.

 

Ključne reči:

konverzivni poremećaj, anoreksija nervoza, Nodding sindrom/bolest, Južni Sudan, Srbija

 

 

 

 

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PDF: 08-Pantić M. et al MD-Medical Data 2023;15(3) 105-107.pdf