Munchausen syndrome presenting as acute spinal cord injury

A 30-year-old woman was diagnosed to have Munchausen syndrome, simulating acute spinal cord injury, a rarely reported neurologic presentation. For nearly seven years she traveled widely over two continents, taking serious medical risks in order to prolong her illness. She was discovered after recovering partial voluntary lower extremity function under the influence of Pentothal (thiopental sodium). Information about her personal and medical background was found to be untrue. Confidentiality requirements prevented the transfer of critical medical information and delayed the diagnosis. Corroboration of the details of personal and medical history may lead to earlier diagnosis and prevent unnecessary medical intervention.