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Mistaken diagnosis of psychogenic gait disorder in a man with status cataplecticus ("Limp Man Syndrome")

Authors

  • David K. Simon MD, PhD,

    Corresponding author
    1. Beth Israel Deaconess Medical Center and Harvard Medical School, Department of Neurology, Boston, Massachusetts, USA
    • Beth Israel Deaconess Medical Center and Harvard Medical School; Department of Neurology; 77 Avenue Louis Pasteur, Room HIM-856; Boston, MA 02115
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  • Seiji Nishino MD, PhD,

    1. Center for Narcolepsy, Stanford University, Palo Alto, California, USA
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  • Thomas E. Scammell MD

    1. Beth Israel Deaconess Medical Center and Harvard Medical School, Department of Neurology, Boston, Massachusetts, USA
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Abstract

We report on a 45-year-old man with a history of multiple psychiatric admissions for a gait disorder and episodic weakness thought to be psychogenic who was subsequently diagnosed with status cataplecticus due to narcolepsy. The gait difficulties resolved with venlafaxine. This case demonstrates that status cataplecticus can be misdiagnosed as a psychogenic gait disorder. © 2004 Movement Disorder Society

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