Dysocjacja czy neurodegeneracja. Problemy diagnozy, leczenia i terapii

Dissociation or Neurodegeneration. Problems of Diagnosis, Treatment and Therapy Differentiation of the symptoms of dissociation and neurodegeneration in adolescent patients causes many problems. Diagnostic criteria unequivocally show that dissociative disorders should be diagnosed only after excluding general‑medical and neurological causes and the results of the effect of psychoactive substances. The diagnosis of dissociation is indicated by the occurrence of conversion symptoms or recurrent somatic complaints temporally connected with a stressogenic factor in the dynamism of their clinical picture. The aim of the paper is to determine the psychopathological picture of neurodegeneration in an 18‑year‑old female student who was erroneously diagnosed as having dissociative disorders. The results of extended genetic tests conducted after eight years of ineffective treatment and therapy showed a hereditary form of neurodegeneration. The disease, although with different intensity, also manifested itself in the patient’s grandmother, mother and in sister at different periods of their lives.Key words: mild cognitive disorders, dementia, dysarthria, conversion, tetraplegia, extrapyramidal syndrome