Department of Neurology, Ashford St. Peter's Hospital NHS Foundation Trust, Chertsey, UK.
Department of Neurology, St. George's Hospital, London, UK.
Neurocase. 2021 Feb;27(1):8-11. doi: 10.1080/13554794.2020.1858110. Epub 2020 Dec 11.
We describe a patient who presented with gender identity dysphoria and stroke-like symptoms who we diagnosed with Munchausen's syndrome (factitious disorder). We discuss whether a brain lesion in the left frontal cortex is a possible risk factor, and support this hypothesis through neuropsychological investigation, EEG abnormalities, and a personality assessment. This case report supports previous suggestions that underlying brain disease/lesions might be risk factors for Munchausen's syndrome (factitious disorder).
我们描述了一位出现性别认同障碍和类似中风症状的患者，我们诊断为马氏综合征（做作性障碍）。我们讨论了左额叶脑损伤是否是一个可能的危险因素，并通过神经心理学检查、脑电图异常和人格评估来支持这一假设。本病例报告支持先前的建议，即潜在的大脑疾病/损伤可能是马氏综合征（做作性障碍）的危险因素。
