Hampel H, Berger C, Müller N
National Institutes of Health, National Institute on Aging, Bethesda, Md 20892, USA.
Psychopathology. 1996;29(4):236-41. doi: 10.1159/000284999.
We report an atypical case of Ganser's syndrome in a 54-year-old male patient. The following symptoms which include approximate answers perceptual disturbances and dissociative mechanisms were observed over 7 years, improved during hospitalization, but reappeared just before the patient's discharge. The extremely long presence and bizarre manifestation of symptoms, the course of the disorder and the patient's premorbid high intelligence level point to an unusual presentation of this case. Following the concept of hysteria and dissociation, we discuss its diagnosis within the scope of the DSM-III-R, DSM-IV and ICD-10 classification of Dissociative Disorders. Problems in the differential diagnosis which result from an increasing awareness of Dissociative Disorders are outlined.
我们报告了一名54岁男性患者患甘塞尔综合征的非典型病例。在7年多的时间里观察到以下症状，包括近似回答、感知障碍和分离机制，这些症状在住院期间有所改善，但在患者出院前再次出现。症状的极长时间存在和奇异表现、疾病过程以及患者病前的高智商水平表明了该病例的不同寻常之处。遵循癔症和分离的概念，我们在《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）、《精神疾病诊断与统计手册》第四版（DSM-IV）以及国际疾病分类第十版（ICD-10）分离性障碍分类范围内讨论其诊断。概述了由于对分离性障碍认识的增加而导致的鉴别诊断问题。
