Psychogenic

Conversion reactions are predominantly found in late childhood to early adolescent girls, and may begin after a minor illness or trauma (1). Patients may report diffuse spinal tenderness, with marked allodynia, numbness, paralysis, or a bizarre gait. These are often inconsistent with organic pathology (1,57). Despite their reports of pain and limitation, the patient is often smiling or cheerful ("la belle indifference"). Physical examination does not reveal any neurological or organic pathology. Treatment consists of psychological and graded physical therapy (1).

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