Conversion Disorder in Emergency Medicine Workup

Updated: Nov 09, 2015
  • Author: Seth Powsner, MD; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Workup

Laboratory Studies

Carefully consider the possibility of an organic etiology.

Some authors have suggested that unnecessary, painful, or invasive testing can result in reinforcement and fixation of symptoms and should be avoided when possible.

Consider laboratory testing to exclude the following clinical entities:

  • Electrolyte disturbances
  • Hypoglycemia
  • Hyperglycemia
  • Renal failure
  • Systemic infection
  • Toxins
  • Other drugs
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Imaging Studies

A chest x-ray (CXR) may be considered to diagnose an occult neoplasm.

CT scan or MRI may be performed to exclude a stroke or a space-occupying lesion in the brain or spinal cord.

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Other Tests

An electroencephalograph may help distinguish pseudoseizures from a true seizure disorder.

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Procedures

Spinal fluid may be diagnostic in ruling out infectious or other causes of neurologic symptoms.

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