Globus hystericus, also known as globus pharyngeus or globus sensation, is characterized by the physical sensation of a mass in one’s throat. Globus sensation is more common in adults and reported more rarely in children. Adult patients with globus sensation score higher on neuroticism, introversion, anxiety, and depression. However, not all patients with globus sensation have psychiatric abnormalities. Thus, it is important to share an atypical presentation in children and highlight the necessity of ruling out other organic causes. The present case study elucidates the process of ruling out medical etiologies of globus sensation in a young girl with anxiety and food aversion. We provide a review discussion of the differential diagnoses, both medical and psychiatric, of globus sensation in the pediatric population reported in past literature. The case study and review of pediatric globus sensation shows that the symptom can be associated with a wide array of psychological and medical diagnoses. The medical differential diagnoses of globus sensation include the gastroenteric system, laryngeal system, cardiovascular system, and nervous system. We encourage critical analysis of other potential diagnoses, given each patient’s unique history and physical presentation.

Globus hystericus，也称为 globus pharyngeus 或 globus sense，其特征是喉咙中有肿块的物理感觉。球状感觉在成人中更常见，在儿童中报道较少。具有球状感觉的成年患者在神经质、内向、焦虑和抑郁方面得分较高。然而，并非所有有球状感觉的患者都有精神异常。因此，重要的是要分享儿童的非典型表现并强调排除其他器质性原因的必要性。本案例研究阐明了排除患有焦虑和食物厌恶的年轻女孩的球状感觉的医学病因的过程。我们对过去文献中报道的儿科人群中球状感觉的鉴别诊断进行了回顾性讨论，包括医学和精神病学。小儿球状感觉的案例研究和回顾表明，该症状可能与广泛的心理和医学诊断有关。球状感觉的医学鉴别诊断包括胃肠系统、喉系统、心血管系统和神经系统。鉴于每位患者的独特病史和身体表现，我们鼓励对其他潜在诊断进行批判性分析。