07-28-2015, 12:16 AM
A previously healthy 24-year-old woman isbrought to the physician by her husband because of several episodesof loss of consciousness over the past 4 days. Her husband reports that duringepisodes, she jerks her arms and legs wildly. Each episode lasts up
to 1 hour; between episodes, her behavior is normal. She is planning to
move to another state because of her husband's work. She has been
extremely anxious and upset about the move because she will have to leave
her mother, who was recently diagnosed with breast cancer. There is no
family history of seizure disorder. Her temperature is 36.7 C (98 F),
blood pressure is 130/80 mm Hg, pulse is 84/min, and respirations are
18/min. Neurologic examination shows no abnormalities.
Electroencephalography shows normal findings during an episode of shaking. Which
of the following is the most likely underlying cause?
A
) Catatonia
B
) Complex partial seizure
C
) Conversion reaction
D
) Dissociative fugue
E
) Malingering
F
) Tonic-clonic seizure
to 1 hour; between episodes, her behavior is normal. She is planning to
move to another state because of her husband's work. She has been
extremely anxious and upset about the move because she will have to leave
her mother, who was recently diagnosed with breast cancer. There is no
family history of seizure disorder. Her temperature is 36.7 C (98 F),
blood pressure is 130/80 mm Hg, pulse is 84/min, and respirations are
18/min. Neurologic examination shows no abnormalities.
Electroencephalography shows normal findings during an episode of shaking. Which
of the following is the most likely underlying cause?
A
) Catatonia
B
) Complex partial seizure
C
) Conversion reaction
D
) Dissociative fugue
E
) Malingering
F
) Tonic-clonic seizure