IMPORTANCE OF REVIEW IN DIAGNOSIS

Review in Diagnosis

Abstract

Introduction

There are many motor and sensory symptoms, which cannot be explained by any disease process. Patients with such presentations are quite common in neurological practice, and account for 1-9% of both indoor and outdoor cases [1]. These cases are usually labeled as functional and an underlying organic disease is not uncommonly overlooked [2]. Slater in 1965 was the first to point out such misdiagnosis in up to 33% cases of hysteria and concluded with the memorable warning that diagnosis was nothing more than “a delusion and a snare’ [3]. This high rate of misdiagnosis of conversion symptoms gradually declined with the advent of modern diagnostic techniques1 [4,5], however sporadic cases are still reported in which organic cause is overlooked initially [6-8].