A case of conversion disorder presenting with blepharospasm and hyperesthesia

Abstract

This case report highlights a woman in her 40s presenting with Blepharospasm and hyperesthesia, initially managed as a neurological disorder. Despite conventional treatments, her symptoms persisted. Extensive evaluations excluded organic causes, prompting consideration of psychogenic etiology. A placebo trial unexpectedly led to significant improvement, prompting psychiatric evaluation revealing grief and emotional distress. Behavioral interventions resulted in the gradual resolution of symptoms. It underscores the importance of considering psychosocial factors in patients presenting with medically unexplained symptoms, facilitating early diagnosis and appropriate management. This can alleviate patient distress, optimize resource utilization, and enhance clinical outcomes.