Presentation
Entire Body System
- Burning Pain
The patient initially suffered from dysesthesia and burning pain typical of thalamic pain syndrome and subsequently developed delusional oral parasitosis ("worms" infesting her mouth). [ncbi.nlm.nih.gov]
Gastrointestinal
- Dysphagia
심인성 월경곤란증(Psychogenic dysmenorrhoea) 심인성 "히스테리구"를 포함하는 연하곤란(Psychogenic dysphagia, including "globus hystericus" 심인성 소양증(搔痒症)(Psychogenic pruritus) 심인성 사경(斜頸)(Psychogenic torticollis) 이갈기(Teeth-grinding) F45.9 상세불명의 신체형 장애(Somatoform disorder, unspecified [dic.impact.pe.kr]
Neurologic
- Dysesthesia
The patient initially suffered from dysesthesia and burning pain typical of thalamic pain syndrome and subsequently developed delusional oral parasitosis ("worms" infesting her mouth). [ncbi.nlm.nih.gov]
- Thalamic Pain
The authors describe a case of an unusual association of delusional parasitosis and thalamic pain syndrome after left-posterior thalamic hemorrhage. [ncbi.nlm.nih.gov]
Workup
Other ECG Findings
- Ischemic Changes
On neuroimaging, four patients exhibited frontal lobe changes, four demonstrated generalized volume loss, and five had ischemic changes; seven patients demonstrated right-sided or bilateral hemisphere lesions. [ncbi.nlm.nih.gov]