From Big Medical Encyclopedia

GANZERA SYNDROME (S. Ganser, is mute. the psychiatrist, 1853 — 1931) — a symptom complex of hysterical twilight disorder of consciousness with dominance in a clinical picture of the phenomena of «mimorecha» (the wrong answers to simple questions). It is described by Ganzer in 1898.

Moths (S. of Moeli, 1888), for the first time observing the phenomena of «mimorecha» at prisoners, considered it as simulation. Ganzer defined the syndrome as hysterical twilight disorder of consciousness described by it. In 1902 Mr. F. Nissl claimed that G. can be treated by page of «mimorecha» as hysterical only when it arises because of inborn hysteria. In all other cases this syndrome is expression of catatonic negativism, arises under the influence of a mental injury (an emotional shock), usually at prisoners.

I. N. Vvedensky (1905, 1907) specified that he «миморечь» a psychogenic origin on the structure and genesis differs from catatonic. «Миморечь» the psychogenic origin does not overstep the bounds of the question posed while «миморечь» at catatonic syndrome (see) has even no remote relation to the maintenance of the asked question.

The clinical picture

G. of page is one of types of reactive psychosis. It decides by not clear orientation in surrounding, the complicated perception of reality, disruption of communication on the outside world. The patient is concentrated on the narrow, isolated circle of representations, inside to-rogo communication and the sequence is found nek-paradise. Mood raised, alarming and timid. Sometimes there are hallucinations, preferential visual, stsenopodobny, frightening contents, usually situationally caused scenes of court with testimonies of witnesses, with reading a sentence, etc. The phenomena of «mimorecha» are shown in is exaggerated ridiculous answers to ordinary questions. Sometimes to «mimorech» also the phenomena of «mimodeystviye» join: the patient incorrectly makes the actions offered it. E.g., puts on sleeves of a shirt legs, gives instead of the right hand left and so forth. The patient does not react to pricks a pin, is insensitive by cold and heat. Of page keeps several days (about one week). Everything that happens to the patient in the period of a twilight state, usually is followed by amnesia.

In forensic-psychiatric practice clinically outlined G. the page meets seldom.

Differential diagnosis it is necessary to carry out with the similar states arising sometimes at organic lesions of c. N of page, and the schizophrenia (accompanied with catatonic excitement). Distinctiveness of G. of page is the psychogenic origin and a clinical picture of a disease.

Treatment — conduct a course of aminazine.

Forecast favorable.

See also Twilight stupefaction .

Bibliography Vvedensky I. N. O Ganser'OBCKOM syndrome, Zhurn, neuropath. and psikhiat., book 1, page 45, 1905; about N e, To the doctrine about Ganser ’0BCK0M a symptom, Sovr, psikhiat., No. 5, page 110, 1907; F e-linskaya N. I. Reactive states in forensic-psychiatric clinic, page 76, M., 1968; Ganser S. t)ber einen eigenartigen hysterischen Dammerzustand, Arch. Psychiat. Nervenkr., Bd 30, S. 633, 1898; o h of e, &Zur Lehre vom hysterischen Dmmerzustande, ibid., Bd 38, S. 34, 1904.

H. I. Felinskaya.