Maida A M, Molina M E, Erazo R
Servicio de Neurología y Psiquiatría Infantil, Hospital Luis Calvo Mackenna, Fundación de Prevención de Violencia Intrafamiliar, Antonio Varas 360, Santiago de Chile.
Rev Med Chil. 2001 Aug;129(8):917-20.
We report a 12 year old girl that first consulted for fever with bilateral knee arthralgias. A neurological workout was started due to a progressive gait disturbance, but all results were incongruent with nerve or nerve root lesions, leading to the diagnosis of a functional paralysis. The patient worsened to the point of prostration. Due to the suspicion that the mother was inducing the symptoms, the patient was admitted to the hospital, where she improved notably. She was discharged walking. The improvement during hospital stay confirmed the diagnosis of a Münchausen by proxy syndrome, mimicking a disabling neurological condition.
我们报告了一名12岁女孩，她最初因发热伴双侧膝关节疼痛前来就诊。由于步态逐渐紊乱，开始了神经学检查，但所有结果均与神经或神经根病变不符，最终诊断为功能性麻痹。患者病情恶化至虚脱状态。由于怀疑母亲诱发症状，患者被收治入院，在院期间病情明显好转。出院时她已能行走。住院期间的病情改善证实了代理孟乔森综合征的诊断，该综合征表现为类似致残性神经系统疾病。
