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Clinical Pediatrics, Vol. 28, No. 1, 12-16 (1989)
DOI: 10.1177/000992288902800103

Astasia-Abasia

A Conversion Reaction Prognosis

Gunnar B. Stickler, MD

Mayo Clinic, 200 First Street SW, Rochester, MN 55905

Alice Cheung-Patton, MD

Department of Pediatrics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota

Twenty-seven children and adolescents were diagnosed as having astasia-abasia on the basis of a conversion reaction between 1965 and 1979. Follow-up information was obtained by questionnaire or a telephone interview from all but one patient over periods ranging from 5 to 22 years. Twenty-two patients thought that they were in good health, but nine patients had some minor complaints, such as leg weakness or stomach pains. Major symptom substitution had not occurred. No organic illness had been missed. One patient was in psychiatric care, two additional patients seemed to have continued mental problems, and one patient was in jail after having killed his parents.


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