síndrome de Ganser

· Ganser syndrome ICD-10 F448 ICD-9 300.15 OMIM [1] EnfermedadesDB 31852 Medline Plus [2] eMedicine med/840 MeSH {{{Número de malla}}} Artículo principal: Factitious disorders Ganser syndrome is a rare dissociative disorder previously classified as a factitious disorder. It is characterized by nonsensical or wrong answers to questions or doing things incorrectly, other dissociative symptoms such as fugue, amnesia or conversion disorder, often with visual hallucinations and a decreased state of consciousness. It is also sometimes called nonsense syndrome, balderdash syndrome, syndrome of approximate answers, pseudodementia or prison psychosis. This last name, prison psychosis, is sometimes used because the syndrome occurs most frequently in prison inmates, where it may represent an attempt to gain leniency from prison or court officials. Ganser is an extremely rare variation of dissociative disorder. It is a reaction to extreme stress and the patient thereby suffers from approximation or giving absurd answers to simple questions. The syndrome can sometimes be diagnosed as merely malingering, sin embargo, it is more often defined as dissociative disorder. Symptoms include a clouding of consciousness, somatic conversion symptoms, confusión, stress, loss of personal identity, echolalia, and echopraxia. The psychological symptoms generally resemble the patient's sense of mental illness rather than any recognized category. Individuals also give approximate answers to simple questions. Por ejemplo, "How many legs are on a cat?", to which the subject may respond '3'. The syndrome may occur in persons with other mental disorders such as schizophrenia, depressive disorders, toxic states, paresis, alcohol use disorders and factitious disorders. EEG data does not suggest any specific organic cause.[1] Contenido 1 Visión general 2 Diagnóstico 3 Tratamiento 4 Prevalence 5 Eponym 6 Ver también 7 References Overview The original description by Sigbert Josef Maria Ganser in 1898 pointed out their hysterical twilight state. They may also describe hallucinations which are usually more florid than those in schizophrenia. They may also have disorders of sensation similar to those in conversion disorder. They may be inattentive or drowsy.[Cómo hacer referencia y vincular a un resumen o texto] Some workers believe there is a genuine psychosis underlying this, others believe it is a dissociative disorder, while still others believe it is the result of malingering. Over the years, opinions have seemed to move from the first view more towards the last.[Cómo hacer referencia y vincular a un resumen o texto] Ganser syndrome is currently classified under dissociative disorders, to which it moved in the DSM IV from the factitious disorders. Diagnosis According to the DSM-IV-TR, which classifies Ganser syndrome as a dissociative disorder, es "the giving of approximate answers to questions (p. ej.. "2 plus 2 equals 5" when not associated with dissociative amnesia or dissociative fugue."[2] Diagnosing Ganser syndrome is very challenging, not only because some measure of dishonesty is involved but also because it is very rare. Usually when giving wrong answers they are only slightly off showing that the individual understood the question. Por ejemplo, when asked how many legs a horse has they might say, "five." Además, although subjects appear confused in their answers, in other respects they appear to understand their surroundings. Treatment Hospitalization may be necessary during the acute phase of symptoms, and psychiatric care if the patient is a danger to self or others. A neurological consult is advised to rule out any organic cause. [3] Prevalence The disorder is extraordinarily rare with fewer than 100 recorded cases. While individuals of all racial backgrounds have been reported with the disorder, there is a higher inclination towards males (75% o más). The average age of those with Ganser syndrome is 32 and it stretches from ages 15-62 Años. It has been reported in children.[4] The disorder is apparently most common in men and prisoners although prevalence data and familial patterns are not established.[5] Eponym It is named for Sigbert Ganser, who characterized it in 1898.[6][7] See also Malingering References ↑ Cocores JA, Schlesinger LB, Gold MS (1986). A review of the EEG literature on Ganser's syndrome. International journal of psychiatry in medicine 16 (1): 59–65. ↑ American Psychiatric Association. Manual Diagnóstico y Estadístico de los Trastornos Mentales. 4th ed. Text rev. Washington, DC. Asociación Americana de Psiquiatría, 2000. ↑ Carney MW, Chary TK, Robotis P, Childs A (1987). Ganser syndrome and its management. El British Journal of Psychiatry : the journal of mental science 151: 697–700. ↑ Miller P, Bramble D, Buxton N (1997). Case study: Ganser syndrome in children and adolescents. Revista de la Academia Estadounidense de Psiquiatría Infantil y Adolescente 36 (1): 112–5. ↑ Brugha T, Singleton N, Meltzer H, et al (2005). Psychosis in the community and in prisons: a report from the British National Survey of psychiatric morbidity. The American journal of psychiatry 162 (4): 774–80. ↑ Who Named It synd/1351 ↑ S. J. M. Ganser. Über einen eigenartigen hysterischen Dämmerzustand. Archiv für Psychiatrie und Nervenkrankheiten, Berlín, 1898, 30: 633-640. v·d·e WHO ICD-10 mental and behavioural disorders (F · 290–319) Neurological/symptomatic Dementia (Alzheimer's disease, demencia multiinfarto, Pick's disease, enfermedad de Creutzfeldt-Jakob, Huntington's disease, Parkinson's disease, complejo de demencia por sida, Demencia frontotemporal) · Delirium · Post-concussion syndrome Psychoactive substance alcohol (embriaguez, dependencia al alcohol, Delirium tremens, Korsakoff's syndrome, abuso de alcohol) · opiáceos (dependencia de opiáceos) · sedante hipnótico (abstinencia de benzodiacepinas) · cocaína (dependencia de la cocaína) · general (Intoxicación, Abuso de drogas, Dependencia física, Retiro) Psychotic disorder Schizophrenia (esquizofrenia desorganizada) · Schizotypal personality disorder · Delusional disorder · Folie à deux · Schizoaffective disorder Mood (afectivo) Mania · Bipolar disorder · Clinical depression · Cyclothymia · Dysthymia Neurotic, stress-related and somatoform Anxiety disorder (Agorafobia, Trastorno de pánico, Ataque de pánico, Trastorno de ansiedad generalizada, Ansiedad social) · TOC · Reacción de estrés agudo · PTSD · Trastorno de adaptación · Trastorno de conversión (síndrome de Ganser) · Trastorno somatomorfo (Trastorno de somatización, Desórden dismórfico del cuerpo, hipocondriasis, nosofobia, Da Costa's syndrome, psicoalgia) · Neurasthenia Physiological/physical behavioural Eating disorder (anorexia nerviosa, bulimia nerviosa) · Desorden del sueño (disomnia, insomnio, hipersomnia, parasomnia, Noche de terror, pesadilla) · Disfunción sexual (disfuncion erectil, eyaculación precoz, vaginismo, dispareunia, hipersexualidad) · Postnatal depression Adult personality and behaviour Personality disorder · Passive-aggressive behavior · Kleptomania · Trichotillomania · Voyeurism · Factitious disorder · Munchausen syndrome · Ego-dystonic sexual orientation Mental retardation Mental retardation Psychological development (trastorno del desarrollo) Específico: discurso y lenguaje (trastorno del lenguaje expresivo, afasia, afasia expresiva, Afasia receptiva, Síndrome de Landau-Kleffner, ceceo) · Habilidades escolares (dislexia, disgrafia, síndrome de Gerstmann) · Función motora (dispraxia del desarrollo) Penetrante: Autism · Rett syndrome · Asperger syndrome Behavioural and emotional, childhood and adolescence onset ADHD · Conduct disorder · Oppositional defiant disorder · Separation anxiety disorder · Selective mutism · Reactive attachment disorder · Tic disorder · Tourette syndrome · Speech (tartamudear · abarrotar) Esta página utiliza contenido con licencia Creative Commons de Wikipedia (ver autores).

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