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La belle indifférence revisited: a case report on progressive supranuclear palsy misdiagnosed as conversion disorder

Overview of attention for article published in Neuropsychiatric Disease and Treatment, August 2017
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2 tweeters
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2 Facebook pages

Citations

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3 Dimensions

Readers on

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20 Mendeley
Title
La belle indifférence revisited: a case report on progressive supranuclear palsy misdiagnosed as conversion disorder
Published in
Neuropsychiatric Disease and Treatment, August 2017
DOI 10.2147/ndt.s130475
Pubmed ID
Authors

Petra van Meerkerk-Aanen, Lars de Vroege, David Khasho, Aziza Foruz, J. Thies van Asseldonk, Christina van der Feltz-Cornelis

Abstract

Since the advent of computed tomography and magnetic resonance imaging scans, neurological disorders have less often been falsely labeled as conversion disorder (CD). However, misdiagnosis of a neurological disorder as CD still occurs, especially in cases with insidious onset. Misinterpretation of la belle indifférence may contribute to such misdiagnosis. Here, we describe a case of progressive supranuclear palsy/Richardson's syndrome (PSPS) misdiagnosed as a case of CD. A 62-year-old woman consulted two different neurologists in 2012 because of falling spells since 2009 and was diagnosed with CD. She was referred to the Clinical Center of Excellence for Body, Mind, and Health for treatment of CD. After neurological examination, blood tests, and psychiatric examination, in which la belle indifférence and a history of incest were found, CD was confirmed. However, despite treatment for CD, the patient's physical symptoms deteriorated over a year. After repeated physical and psychiatric examinations, neurocognitive assessment, and consultation with a third neurologist because of suspicion of neurological disease, the patient was diagnosed with PSPS. La belle indifférence may be a psychological sign in the context of CD, but it may also be an expression of lack of mimic due to Parkinsonism or of eye movement disorder in the context of neurological illness. A diagnosis of CD should not be considered definitive if no improvement occurs in terms of physical, mental, and cognitive symptoms despite appropriate therapy. In case of deterioration, neurological reexamination and reinterpretation of la belle indifférence should be considered.

Twitter Demographics

The data shown below were collected from the profiles of 2 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 20 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 20 100%

Demographic breakdown

Readers by professional status Count As %
Unspecified 4 20%
Student > Postgraduate 3 15%
Student > Ph. D. Student 3 15%
Student > Bachelor 2 10%
Professor 2 10%
Other 6 30%
Readers by discipline Count As %
Psychology 8 40%
Unspecified 6 30%
Nursing and Health Professions 2 10%
Medicine and Dentistry 2 10%
Neuroscience 1 5%
Other 1 5%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 March 2018.
All research outputs
#7,932,304
of 12,639,455 outputs
Outputs from Neuropsychiatric Disease and Treatment
#1,414
of 2,141 outputs
Outputs of similar age
#152,413
of 264,063 outputs
Outputs of similar age from Neuropsychiatric Disease and Treatment
#47
of 89 outputs
Altmetric has tracked 12,639,455 research outputs across all sources so far. This one is in the 23rd percentile – i.e., 23% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,141 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.5. This one is in the 27th percentile – i.e., 27% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 264,063 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 32nd percentile – i.e., 32% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 89 others from the same source and published within six weeks on either side of this one. This one is in the 34th percentile – i.e., 34% of its contemporaries scored the same or lower than it.