Multiple Functional Symptoms - Patient 1

This 62 year old patient presented a brutal onset of paralysis on her left side, while she was quietly doing sewing that is on the preferred lobby. It should be noted that for the last two months she was preoccupied and that she was not sleeping well. As a result she was sent to hospital where, given the normality of the examinations, the diagnosis of a functional paralysis was given. Her first session of large field transcranial magnetic stimulation, given at the University Hospital Centre in Rouen, was very efficient. I saw her two months later for a relapse of the left hemiparesis and the appearance of an articulation difficulty (see videos 1 and 3). She also presents multiple symptoms of hypermobile EDS, including hyperlaxity, cold extremities and frequent subcutaneous bruising.

The large field transcranial magnetic stimulation alone again improved the left paralysis completely (see video 2).
Peripheral stimulation at 3Hz, using the small round coil on the masseters, completely improved her language articulation disorders (see video 4).

This patient therefore presented two types of functional neurological disorders, one deficit of the type left hemiparesis and the other positive of the type excessive contraction of masseter causing dysphonia. There was no obvious triggering factor. Magnetic stimulation was able to improve both types of symptoms. I currently see this patient every three months because, after this delay, there is a tendency towards the recurrence of her symptoms.