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The Ganser syndrome in two adolescent brothers
1Department of Adolescence, Geha Psychiatric Hospital, Beilinson Medical Center, Petah Tikva, Israel.
Summary
Ganser syndrome, a rare condition, appeared in two adolescent brothers incarcerated and awaiting trial. Both later showed symptoms of affective disorder, highlighting diagnostic challenges.
Area of Science:
- Child and Adolescent Psychiatry
- Forensic Psychiatry
- Neuropsychiatry
Background:
- Ganser syndrome is an uncommon dissociative disorder characterized by " jawaban " or approximate answers.
- Its occurrence in pediatric populations, particularly in forensic settings, is exceptionally rare.
Observation:
- Presents two cases of Ganser syndrome in adolescent brothers.
- Both brothers developed symptoms while incarcerated and awaiting trial.
- Subsequent development of affective disorder symptoms in both patients.
Findings:
- The cases highlight the challenges in diagnosing Ganser syndrome in adolescents within a forensic context.
- The co-occurrence of Ganser syndrome and affective disorder in these patients warrants further investigation.
- Differential diagnosis requires careful consideration of malingering, factitious disorder, and other psychiatric conditions.
Implications:
- These cases underscore the need for increased awareness of Ganser syndrome in adolescent forensic psychiatry.
- Further research is needed to understand the etiology and management of Ganser syndrome in youth.
- Effective management strategies may require a multidisciplinary approach involving psychiatry and legal professionals.