J Korean Neurotraumatol Soc.  2006 Jun;2(1):81-83. 10.13004/jknts.2006.2.1.81.

Posttraumatic Psychogenic Clubfoot: The Importance of Recognition

• Jang UJ
• Lee KS
• Shim JJ
• Yoon SM
• Doh JW

• KMID: 2192339
• DOI: http://doi.org/10.13004/jknts.2006.2.1.81

Abstract

We observed a case of delayed foot drop in a 41-year-old woman after a trivial in-car accident without neural or spinal injuries. She was suffered from a psychogenic clubfoot over four years. About 3 months after the accident, insidious foot drop was noticed. It progressed and eventually she could not walk without a brace. She wondered from hospital to hospital without success. An electrophysiological examination was normal. Clinical psychometric examination revealed relatively low intelligence quotient (IQ 86), unstable emotion, somatic over-sensitivity, aggression and anger. We diagnosed her disease as the psychogenic clubfoot. We report such a case, including clinical presentation, management, and review some medicolegal issues.

Keyword

Clubfoot; Conversion disorder; Malingering; Diagnosis; Causality

MeSH Terms

Adult
Aggression
Anger
Braces
Clubfoot*
Conversion Disorder
Diagnosis
Female
Foot
Glycogen Storage Disease Type VI
Humans
Intelligence
Malingering
Psychometrics
Spinal Injuries