The Pseudodementia Dilemma - 1st World Congress on Healthy ...

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Ganser’s syndrome • Resolution is abrupt with complete and sometimes, residual amnesia (‘hysterical twilight state’) for the brief duration of the illness, which Ganser (1898) himself believed was central to the presentation and that approximate answers alone is not enough to make a diagnosis, as many later papers that relied on that single symptom found it to lack specificity when use alone • Mentor, Nissl, even believed it to be a manisfestation of ‘catatonic negativism’ and 1 of Ganser’s 3 patients did in fact have catatonic posturing as a feature
Ganser’s syndrome • <strong>The</strong> apparent dementia that accompanies approximate answers is usually incomplete, inconsistent and selfcontradictory • Patients are able to adapt to demands of daily life which those with organic dementia cannot • Motor behavior ranges from dazed stupor to histrionic outbursts of excitement; mood ranges from apathetic indifference to anxious bewilderment • Whitlock (1967) called it the ‘buffonery syndrome of schizophrenia’ from the associated confabulation and childish, playful attitude. However, this betrays knowledge of the purpose of questions put forward and by the close approximation, the correct answers may be available to the patient to an extent, although the answers seem absurd • Patients with this condition exercise full deliberation and an apparent serious intent • McGrath and McKenna (1965) felt the approximate answers were a ‘compromise’ stating “I am insane, yet sane”
Page 1 and 2: Organised by: Co-Sponsored: Malaysi
Page 3 and 4: Content • Pseudodementia<
Page 5 and 6: Depressive pseudodementia (DPD) •
Page 7 and 8: DPD (con’t) • Jacoby and Levy o
Page 9 and 10: DPD (con’t) • However, consider
Page 11 and 12: D/D Dementia and DPD (Small et al,
Page 13: Ganser’s syndrome • 1 st descri
Page 17 and 18: Ganser’s syndrome • In modern p
Page 19 and 20: Hysterical pseudodementia • Core
Page 21 and 22: Simulated dementia • Memory loss
Page 23 and 24: D/D from Functional disorders • S
Page 25: Thank You Main source: Lishman WA:

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