Table 1.

Differential diagnosis, investigation, and treatment in the present case

Differential diagnosis

Conversion disorder

Guillain-Barré

syndrome

Lumbar radiculomyelitis

Neuromyelitis optica

Investigation

History and physical examination

Lumbar puncture with CSF pathogen panel and polymerase chain reaction

Brain, cervical, thoracic, and lumbar MRI scans with and without gadolinium contrast

HIV-1 and -2

Borrelia burgdorferi (Lyme disease)

Syphilis Hepatitis B

Chlamydia trachomatis

Neisseria gonorrhoeae

Oligoclonal bands

IgG index

Aquaporin 4

Treatment

Methylprednisolone

Hydromorphone

Acyclovir

Valacyclovir

Gabapentin

Baclofen

Alprazolam