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Neurologica Diabolica Dr Wallis   Middlemore Medical Society Millbrook 2010
Case 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case 2 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Case 3 ,[object Object],[object Object],[object Object],[object Object]
Case 4 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Neurologica Diabolica Is Part Of  Which Syndrome?  Who first described it?
Munchausen Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1912-1969  †  By his own hand
Munchausen Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why Munchausen Syndrome? ,[object Object]
Who was Munchausen? Doppelgängers: one real and one mythical ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
  Who was the mythical Munchausen?   The Adventures of Baron Munchausen , one of the most famous books of tall tales, is attributed to Rudolf Erich Raspe, who in  1787   produced an affidavit supporting veracity of his tales, purportedly signed by Lemuel Gulliver, Sinbad the Sailor, Aladdin, and the Lord Mayor of London,
Munchausen’s Adventures
Forms of Munchausen ,[object Object],[object Object],[object Object]
Classical Munchausen  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Classical Forms of Munchausen Laparotomaphilia migrans,  distinguished by repeated abdominal symptoms and laparotomies; alleged to be the commonest type
Dermatitis autogenetica , characterized by self-inflicted skin lesions or rashes Tools of the trade
Hemorrhagica histrionica recurrent bleeding without explanation
Neurologica Diabolica Fake seizures, paralysis, blindness, and  self-poisoning
Pseudologia phantastica type 1 ,[object Object]
Pseudologia phantastica type 2 Feigning psychiatric illness
Other Classical Types Munchausen ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Aetiology Classical Munchausen ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Terms Describing Personality Characteristics in Munchausen ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Aetiology Classical Munchausen (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
New Age Munchausen ( Not described or dreamed of by Asher ) ,[object Object],[object Object],[object Object]
Munchausen by Google (Virtual Munchausen) ,[object Object],[object Object]
HIV Munchausen ,[object Object],[object Object]
Veterinary Munchausen “ Shouldn’t he be lying at the foot of the bed?” “ Here he is again. Poor Fido.”
Differential diagnosis (1) Authentic physical disorder (2) Malingering: conscious, volitional, situationally appropriate behaviour aimed toward clear secondary gain (3) Somatoform:  (aka hysteria) nonorganic illness in which the signs and symptoms are non-volitionally simulated and secondary to unconscious drives and for which there is no apparent secondary gain
Munchausen by Proxy (Cases 3 and 4) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Types of Munchausen by Proxy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Munchausen by Proxy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Munchausen by proxy can backfire ,[object Object],[object Object],[object Object]

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Neurologica diabolica (munchausen syndrome)

  • 1. Neurologica Diabolica Dr Wallis Middlemore Medical Society Millbrook 2010
  • 2.
  • 3.
  • 4.
  • 5.
  • 6. Neurologica Diabolica Is Part Of Which Syndrome? Who first described it?
  • 7.
  • 8.
  • 9.
  • 10.
  • 11. Who was the mythical Munchausen? The Adventures of Baron Munchausen , one of the most famous books of tall tales, is attributed to Rudolf Erich Raspe, who in 1787 produced an affidavit supporting veracity of his tales, purportedly signed by Lemuel Gulliver, Sinbad the Sailor, Aladdin, and the Lord Mayor of London,
  • 13.
  • 14.
  • 15. Classical Forms of Munchausen Laparotomaphilia migrans, distinguished by repeated abdominal symptoms and laparotomies; alleged to be the commonest type
  • 16. Dermatitis autogenetica , characterized by self-inflicted skin lesions or rashes Tools of the trade
  • 17. Hemorrhagica histrionica recurrent bleeding without explanation
  • 18. Neurologica Diabolica Fake seizures, paralysis, blindness, and self-poisoning
  • 19.
  • 20. Pseudologia phantastica type 2 Feigning psychiatric illness
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28. Veterinary Munchausen “ Shouldn’t he be lying at the foot of the bed?” “ Here he is again. Poor Fido.”
  • 29. Differential diagnosis (1) Authentic physical disorder (2) Malingering: conscious, volitional, situationally appropriate behaviour aimed toward clear secondary gain (3) Somatoform: (aka hysteria) nonorganic illness in which the signs and symptoms are non-volitionally simulated and secondary to unconscious drives and for which there is no apparent secondary gain
  • 30.
  • 31.
  • 32.
  • 33.

Editor's Notes

  1. ű