Clinical MR Imaging: A practical approach

Kaindl, Elisabeth

doi:10.1016/s0720-048x(03)00176-1

Cited by 3 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In some cases confrontation was not required as the patient had admitted to fabricating illness [33,34,35,36]. Some authors reported that confrontation was not used for fear of damaging the therapeutic relationship [37, 38]. For one patient, a version of inexact interpretation was adopted in which there was free access to a hospital bed for a year and the patient was in control of when they came to hospital but a response to treatment was expected [19].…”

Section: Resultsmentioning

confidence: 99%

“…Two (6.3%) were assigned a value of 7; in both of these cases, the patient died [18, 48] through a successful suicide. Three had a GIS score of 1 [32, 37, 49] but no common themes emerged from these cases.…”

Section: Resultsmentioning

confidence: 99%

“…The main role of pharmacological therapy in FD seems likely to be in treatment of co-morbid psychiatric disorder [42, 48]. The reported successes of both confrontational [32] and non-confrontational approaches [37, 48] along with treatments that focused on the presenting symptoms [38, 49] suggest that various strategies may be helpful but do not really help the clinician to select a particular management plan.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Management of Factitious Disorders: A Systematic Review

Eastwood

Bisson

2008

Psychother Psychosom

View full text Add to dashboard Cite

Background: The literature regarding the management of factitious disorder (FD) is diverse and generally of case reports or case series. To date there has been no systematic review of the effectiveness of management techniques. Methods: Systematic review of all evidence reporting the management and subsequent outcome in FD. Data were extracted and outcomes were assessed using an adaptation of the Global Improvement Scale. Results were analysed by parametric statistical tests; a meta-analysis was not possible. Results: Thirty-two case reports and 13 case series were eligible for inclusion. Analysis of the case reports found no significant difference in outcomes between confrontational and non-confrontational approaches [t(29) = 0.72, p = 0.48], between treatment with psychotherapy compared to no psychotherapy [t(30) = 0.69, p = 0.48], and when psychiatric medication had been prescribed compared with not [t(30) = 0.35, p = 0.73]. A trend was observed that a longer length of treatment lead to better outcomes, but this was not significant [F(5, 26) = 1.17, p = 0.35]. The consecutive case series demonstrated that many FD sufferers were not engaged in treatment and were lost to follow-up but did not provide any strong evidence regarding the effectiveness of different management approaches. Conclusions: There is an absence of sufficient robust research to determine the effectiveness of any management technique for FD. The establishment of a central reporting register to facilitate the development of evidence-based guidelines is recommended.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Management of Factitious Disorders: A Systematic Review

Eastwood

Bisson

2008

Psychother Psychosom

View full text Add to dashboard Cite

show abstract

“…The CNS neoplasms, which frequently show drop metastases, are primitive neuroectodermal tumors, medulloblastomas, ependymomas and high-grade gliomas. However, other tumors, such as germinomas, lymphoma, choroid plexus tumors, oligodendroglioma, pineoblastoma and neuroblastoma may also present with drop metastatic subarachnoid disease [13]. We reviewed the literature for similar cases and looked into the possible hypotheses behind such phenomenon.…”

Section: Discussionmentioning

confidence: 99%

Dual Gliomas with Syringomyelia in a Child: Case Report and Literature Review

Patibandla

Kumar²,

Bhattacharjee³

et al. 2012

Pediatr Neurosurg

View full text Add to dashboard Cite

Background and Importance: The occurrence of multiple tumors of different histopathologies in the central nervous -system is rare. Here, we report a case of a child with dual neuroepithelial tumors of different histological cell types and -review the available literature for analyzing the causal hypo-thesis. Case Report: A 7-year-old girl presented with history of headaches associated with multiple episodes of early morning projectile vomiting and visual blurring. Magnetic resonance imaging (MRI) showed a well-defined lesion in the hypothalamic region. The patient underwent resection of the tumor by the transcallosal transfornicial approach. Histopathology was suggestive of pilocytic astrocytoma. After 3 years, the patient presented with low back pain radiating to the right lower limb followed by sudden onset of weakness in both lower limbs. Recent MRI brain and spine scans showed a small residual lesion at the hypothalamus with D1 to D10 syrinx. A T1 hypointense and T2 hyperintense cystic lesion from D10 to S2 with intensely enhancing solid component at the S1, S2 region was also detected. The patient underwent L4 to S2 laminectomy and the histopathological examin-ation revealed myxopapillary ependymoma. Conclusion: The presence of multiple neuroepithelial tumors of different histopathology in the same patient is extremely rare, and we report one such case of dual gliomas with hypothalamic pilocytic astrocytoma and cauda equina myxopapillary ependymoma in a 10-year-old patient. During the course of development, displacement and dedifferentiation of primitive totipotent neuroepithelial germ cells may be a causal factor for the appearance of the different neuroepithelial tumors in neuraxis concomitantly or subsequently, which might be substantiated by common cytogenetic abnormalities in different neuroepithelial tumor histogenesis.

show abstract