%0 Journal Article
%T Prolonged Vertigo Associated with Nystagmus: an Organic or a Psychiatric Disorder? ¨C Discussing a Case Report
%A Naeimehossadat Hosseini
%A Amir Moghaddam-Ahmadi
%A Mohammad Ali Abdolkarimi Dawarani
%A Reza Bidaki
%J Galen Medical Journal
%D 2013
%I Shiraz and Fasa universities of medical sciences (Soheil)
%X Background:It is mostly organic diseases that are considered when a neurological sign or symptom is present in the history of a patient; however, there may be psychiatric problems also present which could be missed. We report a case to discuss the possibility of the presence of an organic or psychiatric underlying disorder when facing neurological problems.Case Presentation:We report a case of chronic headache accompanied by vertigo and multiple medical problems including nystagmus and abdominal pain without any significant findings on physical exam that was diagnosed to have a somatization disorder (Not Otherwise Specified or NOS).Conclusion:We did not find any documents regarding the presence of true nystagmus as a functional, factitious or psychosomatic disorder; however, voluntary nystagmus has been reported in some cases with a series of fast (saccadic) back-to-back eye movements, without any interval or slow phase. It is recommended that psychiatrists and neurologists search for a psychiatric disorder as well; even if the problem is supposed to have an organic nature like nystagmus or vertigo, especially when associated with a prolonged, resistant, or unusual course.
%K Nystagmus
%K Vertigo
%K Somatization disorder
%U http://www.gmj.ir/gmj/index.php/gmj/article/view/31