Differentiation of conversive sensory loss and malingering by P300 in a modified oddball task
作者:
Jürgen Lorenz,
Klaus Kunze,
Burkhart Bromm,
期刊:
NeuroReport
(OVID Available online 1998)
卷期:
Volume 9,
issue 2
页码: 187-191
ISSN:0959-4965
年代: 1998
出版商: OVID
关键词: Conversion disorder;Hysteria;Laser evoked potentials;Malingering;Oddball task;P300;Sensory deficit;Somatosensory evoked potentials
数据来源: OVID
摘要:
WE applied the methodology of evoked potentials (EP) to reveal the functional level of abnormality in a patient with circumscribed complete anaesthesia due to conversion disorder. EP components related to sensory and perceptual processing of both innocuous electrical and noxious laser stimuli were normal. However, a P300 component indicating cognitive processing failed to appear when using a modified oddball task with rare stimuli applied to the anaesthetic right hand. P300 was present with this paradigm stimulating the healthy left hand, as well as in a ‘malingerer’ – a healthy subject who was instructed to feign the same deficit. These results suggest cognitive deficits underlying sensory loss as conversion symptom which can be differentiated from malingering by use of P300.
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