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Tijdschrift voor Psychiatrie 61 (2019) 10, 725 - 729

Klinische Praktijk

A patient diagnosed with conversion disorder who did not respond to therapy

M.P. Roobol, S.N. Swolfs, H.A.A.M. Maas, C.P.M. Veth

A 61-year-old woman with a conversion disorder (functional neurological symptom disorder) was referred by her neurologist to the outpatient psychiatric clinic for medically unexplained somatic symptoms. She did not respond well to our treatment, which we initially related to a comorbid mood disorder. Eventually, a progression of both motor and cognitive symptoms were found to be consistent with corticobasal degeneration, a rare neurodegenerative disorder. This case report illustrates the importance of a revised neurological examination when a patient with conversion disorder does not improve.

keywords conversion disorder, corticobasal degeneration (cbd), functional neurological symptom disorder, medically unexplained somatic symptoms (muss)