Here, we present a 25year followup study on a case of lpsas resulting from bilateral pallidal lesions. He graduated from chicago osteopathic medicine midwestern university in 1996 and specializes in family medicine. Three patients who are described in detail developed the syndrome intercurrently during other serious psychiatric illnesses. Gansers syndrome is a rare and controversial condition, whose main and most striking feature is the production of approximate answers or near misses to very simple questions. John h ganser, md is a doctor primarily located in reno, nv, with other offices in reno, nv and reno, nv. A personality disorder in which the patient describes dramatic but false symptoms or simulates acute illness, happily undergoing examinations.
Ganser s phone number, address, insurance information, hospital affiliations and more. The ganser syndrome is rare in children and in adolescents. Find 40 listings related to dr john ganser in reno on. It has also been described in a 12 year old boy with a head injury. Prion disease is a wellcategorized neurological illness due to aggregation of malformed peptides.
Ganser delivered a lecture reporting upon a peculiar hysterical state in this lecture and its subsequent publication ganser, 18981965 he attached clinical significance to a constellation of symptoms and signs that came to bear his name. Gansers syndrome subsequent to ophthalmic herpes zoster in. While dsmiv classifies ganser syndrome as a dissociative disorder, its etiology continues to be debated. The syndrome was originally described in male prisoners with brain injuries. Ganser scientific llc is a reseller of quality it, laboratory, and scientific equipment.
Ganser syndrome or syndrome of approximates is characterized by the patient giving incorrect answers to questions, despite showing an understanding of the questions, clouding of consciousness, perceptual abnormalities and symptoms of somatic conversion. Supportive psychotherapy a type of counseling, and monitoring for safety and a return of symptoms are the main elements of therapy for ganser syndrome. Ganser syndrome has also been found to be comorbid with other. If you are accessing on a public computer, you are advised not to click on the remember me option. Gansers phone number, address, insurance information, hospital affiliations and more. For instance, asked how many legs a horse has, ganser patients will. If the address matches an existing account you will receive an email with instructions to reset your password. John ganser, do is a family medicine specialist in appleton, wi and has been practicing for 21 years. That is, networks created to be quiescent became activists in political causes as a rule and not as an exception. Gail l ganser, md is a doctor primarily located in lynchburg, va, with another office in lynchburg, va. After rapid resolution in two weeks, ganser symptoms reappear seven months later accompanied, this second time, by previous depressive symptoms. Bed partner gaslighting as a cause of fictitious sleep.
Ganser syndrome ganser s syndrome, hysterical pseudodementia, nonsense syndrome, prison psychosis, syndrome of approximate answers is a kind of. Questions about its etiology, definition, and classification, as well as its status as a true mental illness versus a specific form of malingering has been the subject of multiple journal articles and book chapters. Although decreases in the incidence of thiaminerelated disorders were reported in several countries after fortification of bread with thiamine, an increase in the incidence of korsakoffs syndrome was described in some european countries. Journal of clinical and experimental neuropsychology. Jul 31, 2004 the diagnosis of ganser s syndrome is often problematic, especially in view of the frequency with which the symptom of approximate answers arises in other psychiatric disorders. Sigbert ganser first described the syndrome while working at a penal institution in halle, germany.
Ganser syndrome medical education for undergraduate md students. The diagnosis of ganser s syndrome is often problematic, especially in view of the frequency with which the symptom of approximate answers arises in other psychiatric disorders. Gansers syndrome is a rare and controversial entity in psychiatric nosology. Case report neurobiological basis of ganser syndrome daniel ouyang, harpreet s. Oct 01, 2019 ganser syndrome, as it is now known, has been the subject of much debate since this original paper. Sometimes called the syndrome of approximate answers, ganser s syndrome is most often seen in male prisoners. Very few data are available on the longterm changes in the cognitive abilities of patients with loss of psychic selfactivation syndrome lpsas. Gansers syndrome is classified under another category, which is dissociative disorder not otherwise specified. Know the causes, symptoms, treatment and diagnosis of ganser syndrome.
He graduated from chicago osteopathic medicine midwestern university in 1996 and. Ganser s syndrome is a rare and controversial entity in psychiatric nosology. If you check the remember me box, you will be automatically signed in for 30 days to when you visit in the future. Oct 15, 2015 a case report highlighting a rare and striking, but perhaps underrecognized, cause of reported sleeptalking to a specialist sleep clinic, involving gaslighting by the bed partner. We report two cases ofgs, one developing in a 12yearold boy, which had their onset during an episode of mania. Deep as dr ganser s research has been, there is a side to the gladio story he cannot yet reveal. Current classification systems categorise it as a dissociative disorder, the symptoms of which are judged as psychogenic in origin. Ganser syndrome article about ganser syndrome by the free. In the past, this was so much the case that early clinicians called the syndrome prison psychosis, despite the fact that it is not a true psychosis. Six cases of ganser s syndrome are described, one occurring in a male prisoner, 5 occurring in civilian patients of whom 4 were women and one a man. A case of the ganser syndrome in a 14yearold girl, with three of the four essential features, is presented. The syndrome has a sudden onset, resolves abruptly, and is followed by subsequent amnesia. Ganser s syndrome is a rare and controversial condition, whose main and most striking feature is the production of approximate answers or near misses to very simple questions. The diagnosis of ganser syndrome in the practice of.
Medicine is also useful for ganser syndrome such as,lowdose benzodiazepines and antipsychotic medications have been used with limited success. I feel that many of the names that ganser syndrome is also known as in the first paragraph are unfounded. Pediatricians treat children, infants, and adolescents. Ganser syndrome gs is a rare factitious disorder in which the patients symp toms simulate mixed organic, affective, and psychotic illnesses. Mar 21, 2018 ganser syndrome is a form of mental disorder in which the affected individual acts in a conscious manner in such as a way that he or she is terrible sick or unwell to gain attention when in fact the individual is perfectly normal. Ganserlike syndrome after loss of psychic selfactivation. This report raises the possibility of the ganser syndrome as a manifestation of a. Their specialties include general surgery and thoracic surgery. Mastered by daniel husayn at the north london bomb factory. The diagnosis of ganser syndrome in the practice of forensic.
A key feature of this syndrome is the tendency of the patient to give approximate answers to simple questions. Psychosis is characterized by a radical change in personality and a distorted. Head trauma is the most probable cause of amnesic disorders that are due to a general medical disorder. Ganser syndrome is a rare type of condition in which a person deliberately and consciously acts as if he or she has a physical or mental illness when he or she is not really sick. Articles on ganser syndrome have been published in the german language. In the century since ganser syndrome was first described, there has been considerable debate concerning its classification. The ganser syndrome american journal of psychiatry. The key feature of gansers syndrome includes approximate answers to simple questions. Ganser syndrome and dsmiii american journal of psychiatry. What is ganser syndromecausessymptomstreatmentdiagnosis. Ganser syndrome is a rare dissociative disorder characterized by nonsensical or wrong answers to questions and other dissociative symptoms such as fugue, amnesia or conversion disorder, often with visual pseudohallucinations and a decreased state of consciousness. Case report of ganser syndrome in a 14yearold girl.
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