Astasia-abasia

Astasia-abasia is a medical condition characterized by the inability to stand or walk despite having the physical capability to do so. This condition is often associated with neurological disorders and can be a manifestation of conversion disorder or hysteria.

Presentation

Individuals with astasia-abasia exhibit a peculiar gait disturbance. They may appear to stagger wildly in all directions and are unable to maintain an upright posture. Despite this, they do not fall and can often perform other movements normally when seated or lying down. This paradoxical movement pattern is a hallmark of the condition.

Causes

Astasia-abasia is typically linked to psychogenic factors. It is often seen in patients with conversion disorder, where psychological stressors manifest as physical symptoms. Other potential causes include neurological disorders such as multiple sclerosis, Parkinson's disease, and cerebellar ataxia.

Diagnosis

The diagnosis of astasia-abasia is primarily clinical. A thorough medical history and physical examination are essential. Neurological examination often reveals no abnormalities, which helps differentiate it from other organic causes of gait disturbances. Psychiatric evaluation may be necessary to identify underlying psychological factors.

Treatment

Treatment of astasia-abasia involves addressing the underlying cause. In cases related to conversion disorder, psychotherapy and cognitive-behavioral therapy (CBT) are commonly used. Physical therapy may also be beneficial to help patients regain normal gait patterns. In cases with an organic cause, treatment is directed towards the underlying neurological condition.

Prognosis

The prognosis for astasia-abasia varies depending on the underlying cause. Patients with psychogenic astasia-abasia often have a good prognosis with appropriate psychiatric treatment. However, if the condition is due to a progressive neurological disorder, the prognosis may be less favorable.

Related Pages

• Conversion disorder
• Hysteria
• Neurological disorders
• Cognitive-behavioral therapy
• Physical therapy