Korean J Fam Med.  2014 Nov;35(6):321-324. 10.4082/kjfm.2014.35.6.321.

Monolimb Paralysis after Laparoscopic Appendectomy Due to Conversion Disorder

• Ryu G
• Song SH
• Lee KH

• KMID: 2304143
• DOI: http://doi.org/10.4082/kjfm.2014.35.6.321

Abstract

Limb paralysis can develop for various reasons. We found a 13-year-old patient who became paralyzed in her lower extremities after laparoscopic appendectomy. Some tests, including electrodiagnostic studies and magnetic resonance imaging, were performed to evaluate the cause of lower limb paralysis. None of the tests yielded definite abnormal findings. We subsequently decided to explore the possibility of psychological problems. The patient was treated with simultaneous rehabilitation and psychological counseling. Paralysis of the patient's lower extremity improved gradually and the patient returned to normal life. Our findings indicate that psychological problems can be related to limb paralysis without organ damage in patients who have undergone laparoscopic surgical procedures.

Keyword

Paralysis; Appendectomy; Conversion Disorder

MeSH Terms

Adolescent
Appendectomy*
Conversion Disorder*
Counseling
Extremities
Humans
Laparoscopy
Lower Extremity
Magnetic Resonance Imaging
Paralysis*
Rehabilitation