Thoracic spinal epidural hematoma misdiagnosed as conversion paralysis: A case report

Abstract

Key Clinical Message A woman with a history of psychiatric hospitalization was misdiagnosed with conversion paralysis despite lower extremity paralysis due to a thoracic epidural hematoma, leaving her with severe neurological deficits. Conversion paralysis is a diagnosis of exclusion and should never be made unless all possible organic causes have been ruled out.

Keywords

• conversion paralysis
• misdiagnosis
• SIC test
• spinal epidural hematoma