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Functional Convergence Spasm
Convergence spasm (CS) means intermittent episodes of convergence, miosis and accommodation with disconjugate gaze mimicking abducens palsy. The organic causes range from metabolic to host of neurological and ophthalmic diseases that we describe. It was first described as a presentation of psychogen...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4100427/ https://www.ncbi.nlm.nih.gov/pubmed/25035565 http://dx.doi.org/10.4103/0253-7176.135394 |
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author | Ghosh, Abhishek Padhy, Susanta K. Gupta, Gourav Goyal, Manoj K. |
author_facet | Ghosh, Abhishek Padhy, Susanta K. Gupta, Gourav Goyal, Manoj K. |
author_sort | Ghosh, Abhishek |
collection | PubMed |
description | Convergence spasm (CS) means intermittent episodes of convergence, miosis and accommodation with disconjugate gaze mimicking abducens palsy. The organic causes range from metabolic to host of neurological and ophthalmic diseases that we describe. It was first described as a presentation of psychogenic disorders by von Graefe as early as in 1856. Nonetheless, patients exhibiting this sign are often subjected to plethora of unnecessary, sophisticated and invasive diagnostic procedures. Such functional cases were treated with either cycloplegic/placebo eye drop or amytal abreaction. Though epidemiological studies suggest that conversion disorder is equally prevalent in industrialized nations and developing countries, a few cases of functional CS are reported from West including Asia, that to, decade(s) before and none from India, to the best of our knowledge. We illustrate a case of functional CS with photograph after consent from patient and its successful treatment. |
format | Online Article Text |
id | pubmed-4100427 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-41004272014-07-17 Functional Convergence Spasm Ghosh, Abhishek Padhy, Susanta K. Gupta, Gourav Goyal, Manoj K. Indian J Psychol Med Case Report Convergence spasm (CS) means intermittent episodes of convergence, miosis and accommodation with disconjugate gaze mimicking abducens palsy. The organic causes range from metabolic to host of neurological and ophthalmic diseases that we describe. It was first described as a presentation of psychogenic disorders by von Graefe as early as in 1856. Nonetheless, patients exhibiting this sign are often subjected to plethora of unnecessary, sophisticated and invasive diagnostic procedures. Such functional cases were treated with either cycloplegic/placebo eye drop or amytal abreaction. Though epidemiological studies suggest that conversion disorder is equally prevalent in industrialized nations and developing countries, a few cases of functional CS are reported from West including Asia, that to, decade(s) before and none from India, to the best of our knowledge. We illustrate a case of functional CS with photograph after consent from patient and its successful treatment. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC4100427/ /pubmed/25035565 http://dx.doi.org/10.4103/0253-7176.135394 Text en Copyright: © Indian Journal of Psychological Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Ghosh, Abhishek Padhy, Susanta K. Gupta, Gourav Goyal, Manoj K. Functional Convergence Spasm |
title | Functional Convergence Spasm |
title_full | Functional Convergence Spasm |
title_fullStr | Functional Convergence Spasm |
title_full_unstemmed | Functional Convergence Spasm |
title_short | Functional Convergence Spasm |
title_sort | functional convergence spasm |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4100427/ https://www.ncbi.nlm.nih.gov/pubmed/25035565 http://dx.doi.org/10.4103/0253-7176.135394 |
work_keys_str_mv | AT ghoshabhishek functionalconvergencespasm AT padhysusantak functionalconvergencespasm AT guptagourav functionalconvergencespasm AT goyalmanojk functionalconvergencespasm |