engleski

COMORBIDITY OF DISSOCIATIVE MOTOR DISORDER WITH ORGANIC IMPAIRMENT - CASE REPORT

Dissociative disorder is a partial or a complete loss of the normal integration between the sense of identity, memories of the past, sensory impression and control of voluntary movements. Diagnosis should be stated only after excluding active psychoactive substance use, neurological disorders and disorders associated with somatic conditions. We are describing a patient who had comorbidity of organic impairment while diagnosing dissociative disorder. A 36-year-old male was admitted to the Clinic for Psychiatry, University Hospital Centre (UHC) Split, Croatia, because of difficulty in walking and involuntary movements due to constant muscle contractions throughout whole body, with predominantly intense in diaphragm and upper extremities. Motoric symptoms began several months after a cerebellar tumor surgery in 2006. Despite organic impairment due to tumor incision, after extensive somatic diagnostic processing, the organic cause of his condition has not been detected. The patient was treated with psychotherapy, psychopharmacotherapy and physical therapy. After 22 days of intensive hospital treatment, the patient was discharged in improved, both, mental and physical condition.

dissociative disorder ; spasm ; psychotherapy ; psychopharmacotherapy ; pilocytic astrocytoma

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