Factitious triplegia: Case report

Factitious Disorders in Neurology: An Analysis of Reported Cases

“…25,29,33 However, most commonly, they were detected by discovery of previous his-tory of "Munchausen's behavior:" use of false names, false histories, and peregrination. 12,25,31,32,34,35,41,50,53,54,56 Since "factitious nurses" will not be detected by these methods, this would suggest that the bulk of factitious patients remain hidden among the bona fide neurology cases-or, more likely, are diagnosed with conversion disorder, where inconsistencies are supportive of the diagnosis; and, given that the majority of detected cases present with conversion-type symptoms (Table 2), we should ask, rhetorically: if a socially stable woman with a healthcare background presented with conversion disorder, what, other than her confession, could possibly count as direct evidence that this illness was factitious?…”

Conversion motor paralysis disorder: overview and rehabilitation model

“…Often it may be dicult to dierentiate between factitious and conversion disorders. 39 Factitious disorder is characterized by physical or mental symptoms produced voluntarily by the patient, while the unconscious motive is accepting the patient role. There is no evidence of external incentive (ie, compensation, avoiding legal responsibility).…”

“…(b) Ganser syndrome ± characterized by mental symptoms, often psychotic, that are not directed toward a familiar disorder. 39 There is great variability in the nature of the symptoms, they do not respond to treatment, and are aggravated when the patient notices that he is being observed. The patient presents his suering dramatically, but in an inconsistent manner and embedded with lies (Pseudologia Fantastica).…”

“…Often the course is chronic with an onset at young age. 4,39 With malingering, the motive for producing the symptoms is conscious, and the purpose is prominent with clear secondary gain (eg, compensation, vacation from the army, release from the jail, etc) The patient has a clear external motive, in contrast to the factitious patient, who is motivated by the mental unconscious need to take on the patient role and receive treatment. Factitious re¯ects pathophysiology, whilst malingering re¯ects adjustment to certain condition (capture, jail).…”

Triparesis: an unusual presentation of factitious disorder

“…An extensive search was conducted in PubMed, PsycINFO, Web of Science, Scopus, Embase and Google Scholar using keywords like triparesis, triplegia, factitious disorder, malingering, movement disorder and gait disturbance/disorder. We could retrieve one full-text case report of factitious triplegia 8. Additionally, there were two publications that included patients of dissociative disorders, FD and malingering with neurological presentations and these papers mention one and three cases respectively, presenting as triparesis 9 10.…”