thirty five children with a primary complaint of chest pain were prospectively studied. the average age was 9.7 years for boys and 8. 9 years for girls 60% were male. the most frequently diagnosed cause was psychogenic (54.2%). forty percent of the patients were classified as having idiopathic chest pain. precordial pain was encountered in 2. 9%), along with costochondritis and mitral valve pro...

The neurobiological basis of psychogenic movement disorders remains poorly understood and the management of these conditions difficult. Functional neuroimaging studies have provided some insight into the pathophysiology of disorders implicating particularly the prefrontal cortex, but there are no studies on psychogenic dystonia, and comparisons with findings in organic counterparts are rare. To...

TOKES Adams attacks with loss of consciousness due to a sudden decline in cardiac output usually occurs in patients with complete heart block. The precipitating event is ventricular asystole, ventricular flutter-fibrillation or a combination of both arrhythmias. Ventricular fibrillation may follow a period of asystole, or ventricular fibrillation may precede a period of asystole. Infrequently t...

AIM Asystole >3 s or sinus bradycardia with a ventricular rate <40 in association with complete heart block or sinus node dysfunction are considered to be Class 1 indications for permanent cardiac pacing. Nevertheless, these phenomena may be observed in symptomatic patients with neurocardiogenic syncope, who may not respond to pacing therapy. We hypothesized that the pattern of spontaneous brad...

Epileptic seizures commonly result in changes of cardiac rate. Although tachycardias are much more frequent, ictal bradycardia and asystole may be life threatening and contribute to the syndrome of sudden unexplained death in epileptic patients. DiVerentiation between primary cardiac and cerebrogenic bradyarrhythmia is possible with the use of simultaneous EEG and ECG recording. The correct ide...

The term epidemic psychogenic illness is referred to a psychological chain reaction in the members of a group; as the members interact, the symptoms spread from one person to the other with spiraling increase in the number of the victims. The symptoms predominating in the epidemic are those of one or two key persons. Reports of such illness are frequent in school children (Moss and Band, 1982; ...

OBJECTIVE Carnett's test is a simple clinical test in which abdominal tenderness is evaluated while the patient tenses the abdominal muscles. It is useful for differentiating abdominal wall pain from intra-abdominal pain. However, no study has reported its association with psychogenic abdominal pain. We evaluated its diagnostic usefulness in psychogenic abdominal pain. METHODS Two physicians ...