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NEUROLOGY 1988;38:1628
© 1988 American Academy of Neurology

Epileptic Munchausen's syndrome

A form of pseudoseizures distinct from hysteria and malingering

Ghislaine Savard, MD, FRCP(C), Frederick Andermann, MD, FRCP(C), Jeanie Teitelbaum, MD and Heinz Lehmann, MD, FRCP(C)

Department of Neurology and Neurosurgery, McGill University, and the Montreal Neurological Institute and Hospital.

A young woman with seizures and status epilepticus sought and obtained hospitalization in at least 25 hospitals in the province of Quebec between 1980 and 1987. She was thought to have uncontrolled epilepsy; her treatment led to intoxication with anticonvulsants and once to anesthesia for three consecutive periods of 7 days each. The nonepileptic nature of her attacks was proven and a diagnosis of Munchausen's syndrome made. She was transferred to a psychiatric center where she committed suicide. We found no documented cases of epileptic chronic factitious disorder in the literature.

Address correspondence and reprint requests to Dr. Savard, Montreal Neurological Institute and Hospital, 3801 University Street, Montreal, Quebec H3A 2B4 Canada.

Received December 29, 1987. Accepted for publication in final form April 8, 1988.

Presented in part at the XVII Epilepsy International Symposium, Jerusalem 1987.




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