Functional Neurological Symptom Disorder:Mismanagement, Misdiagnosis, Chronic Cough Following Sexual Abuse: A Rare Case Report




How to Cite This Article: Bidaki R, Zarepur E, Akrami M, Nadi Sakhvidi M. Functional Neurological Symptom Disorder: Mismanagement, Misdiagnosis, Chronic Cough Following Sexual Abuse; A Rare Case Report. Iran J Child Neurol. Spring 2016; 10(2):90-92.



Conversion disorder (CD) is a mental disorder in which patient displays neurological symptoms such as blindness, mutism, paralysis and seizure. It starts when our mind converts our mental stress into a physical symptom. A 15-year-old single white female with chronic cough, which had begun 5 months ago, was brought to our clinic. She had no history of hospitalization. His daily cough was without sputum production or fever, rhinorrhea and stopped during sleep. There was no recent exposure to tobacco smoke or a person with a chronic productive cough. Laboratory tests were normal. She had engaged 4 months ago.

Doing sex during engagement is prohibited in her culture but and had anal sex, because of her spouse’s trend. Psychotherapy was done and complete recovery was accomplished.



  1. Feinstein A. Conversion disorder: advances in our understanding. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne. 2011 May 17;183(8):915-20. PubMed PMID: 21502352. Pubmed Central PMCID: 3091899.
  2. Pehlivanturk B, Unal F. Conversion disorder in children and adolescents: a 4-year follow-up study. Journal of psychosomatic research. 2002 Apr;52(4):187-91. PubMed PMID: 11943237.
  3. Ozsungur B, Foto-Ozdemir D, Ozusta S, Topcu M, Topaloglu H. Treatment of a severe conversion disorder in a 10-year-old boy: a case study and overview. The Turkish journal of pediatrics. 2012 Jul-Aug;54(4):413-8. PubMed PMID: 23692724.
  4. Kozlowska K, Nunn KP, Rose D, Morris A, Ouvrier RA, Varghese J. Conversion disorder in Australian pediatric practice. Journal of the American Academy of Child and Adolescent Psychiatry. 2007 Jan;46(1):68-75. PubMed PMID: 17195731.
  5. Singh SP, Lee AS. Conversion disorders in Nottingham: alive, but not kicking. Journal of psychosomatic research. 1997 Oct;43(4):425-30. PubMed PMID: 9330242.
  6. Haydour Q, Alahdab F, Farah M, Barrionuevo P, Vertigan AE, Newcombe PA, et al. Management and diagnosis of psychogenic cough, habit cough, and tic cough: a systematic review. Chest. 2014 Aug;146(2):355-72. PubMed PMID: 24833061.
  7. Mastrovich JD, Greenberger PA. Psychogenic cough in adults: a report of two cases and review of the literature. Allergy and asthma proceedings : the official journal of regional and state allergy societies. 2002 Jan-Feb;23(1):27-33. PubMed PMID: 11894731.
  8. Sobot V, Ivanovic-Kovacevic S, Markovic J, Misic-Pavkov G, Novovic Z. Role of sexual abuse in development of conversion disorder: case report. European review for medical and pharmacological sciences. 2012 Feb;16(2):276-9. PubMed PMID: 22428482.
  9. Amirsalari S, Radfar S, Ajallouyean M, Saburi A, Yousefi J, Noohi S, et al. Prevalence of epileptiform discharges in children with sensori-neural hearing loss and behavioral problems compared to their normal hearing peers. Iranian journal of child neurology. 2014 Spring;8(2):29-33. PubMed PMID: 24949048. Pubmed Central PMCID: 4058062.
  10. Voon V, Lang AE. Antidepressant treatment outcomes of psychogenic movement disorder. The Journal of clinical psychiatry. 2005 Dec;66(12):1529-34. PubMed PMID: 16401153.
  11. Tocchio SL. Treatment of conversion disorder. A clinical and holistic approach. Journal of psychosocial nursing and mental health services. 2009 Aug;47(8):42-9. PubMed PMID: 19681521.



Chronic cough; Conversion disorder; Sexual abuse; Diagnostic Errors

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