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1. Mistaken diagnosis of psychogenic gait disorder in a man with status cataplecticus ("limp man syndrome").

Author

Simon DK, Nishino S, and Scammell TE

Subjects
Carrier Proteins cerebrospinal fluid, Diagnosis, Differential, Dystonic Disorders cerebrospinal fluid, HLA-DQ Antigens cerebrospinal fluid, HLA-DQ beta-Chains, Humans, Male, Middle Aged, Neuropeptides cerebrospinal fluid, Orexins, Sleep, REM physiology, Cataplexy complications, Diagnostic Errors, Dystonic Disorders complications, Dystonic Disorders diagnosis, Gait, Intracellular Signaling Peptides and Proteins
Abstract

We report on a 45-year-old man with a history of multiple psychiatric admissions for a gait disorder and episodic weakness thought to be psychogenic who was subsequently diagnosed with status cataplecticus due to narcolepsy. The gait difficulties resolved with venlafaxine. This case demonstrates that status cataplecticus can be misdiagnosed as a psychogenic gait disorder., (Copyright 2004 Movement Disorder Society)

Published
2004
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