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Evaluation of an Exaggerated Somatosensory Deficit With Symptom Validity Testing
Loren Pankratz, PhD;
Laurence M. Binder, PhD;
Lawrence M. Wilcox, PhD
Psychology Service (116B) Veterans Administration Medical Center PO Box 1034 Portland, OR 97207
Arch Neurol. 1987;44(8):798.
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To the Editor.
—Evaluation of sensory deficits can be problematic because cooperation of the patient is required. It is difficult to prove that a patient has dishonestly reported his subjective experiences because symptoms are easily embellished. We describe how symptom validity testing was used to document that a patient simulated a somatosensory deficit.
Report of a Case.
—A 56-year-old man was admitted to the Veterans Administration Medical Center, Portland, Ore, for evaluation of symptoms that were the basis of a disability claim. His complaints included daily headaches, trembling of his hands and knees, an inside "shakiness," and sharp pains in his neck and lower back that radiated to his head, shoulders, and legs. He described a tactile sensory deficit that caused numbness over his whole body and difficulty in holding objects. Finally, he complained of concentration and memory problems.
The patient's history was significant for viral encephalitis 27 years earlier.
. . . [Full Text PDF of this Article]
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