Yasser’s Sphygmomanometer Procedure; a Newly Therapeutic Procedure for the Psychogenic Hemiplegia in the Emergency Medicine and Neuropsychiatry-Case Series

Introduction: Psychogenic hemiplegia is a suggestive symptom of stroke but in reality, is of psychogenic origin. Psychogenic hemiplegia is an identical subgroup of pseudostroke, and psychogenic movement disorders, and mimics for differential diagnosis of stroke. Treatment of psychogenic hemiplegia is still challenging. The research objectives aimed to evaluate the hypothesis that Yasser’s sphygmomanometer procedure can regain movement and improvement of psychogenic hemiplegia. Method of study and patients: The study was technical, prospective, observational, and interventional for 31 cases. This study was conducted in Kafr El-Bateekh Central Hospital, Fraskour Central Hospital, and a physician outpatient clinic. The author reported 31 cases of psychogenic hemiplegia over nearly 5 years and 3 months, starting on May 07, 2019, and, ending on August 12, 2024. Results: A total of 31 patients are included in this study. There is a female sex predominance of 87.1%. The mean age of the cases was 35.29 years (range; 16-65). The most common occupation in the study was housewife; 54.84%. The most commonly associated hemiplegia was the left-side hemiplegia of cases; 90.32% vs. right-side; 6.45% and reversal; 3.23%. Latent tetany was the most predominant; 90.32% vs. the manifested; 9.68%. Wavy triple sign (WTS) was the most frequent ECG sign; 35.48%, then Wavy double sign (WDS); 22.58%, and combined WTS and WTS; 16.13%, WTS with Tee-Pee sign and Camel hump T-waves; 6.45%. Ionized hypocalcemia was detected in 32.26%. The response was complete but with a single recurrence. Conclusions: The author concluded that Yasser’s sphygmomanometer procedure is easy, available, quick, non-costive, time-saving, and extremely safe for psychogenic hemiplegia. There is a strong association between hypocalcemia (clinical, ECG, and ionized hypocalcemia) and psychogenic hemiplegia. There were no reported complications for this procedure encouraging the generalizing use in psychogenic hemiplegia. Further widening the research to include the cases of organic stroke is essential.