Abstract

<strong>Background:</strong> Munchausen syndrome presenting with psychogenic dystonia is a rare condition. <strong>Phenomenology Shown:</strong> A psychogenic dystonia case presenting with an acute onset of retrocollis, lower limb dystonia and bizarre gait was diagnosed as Munchausen syndrome. <strong>Educational Value:</strong> Recognizing psychogenic dystonia avoids unnecessary investigations and provides successful treatment.

Highlights

  • Munchausen syndrome presenting with psychogenic dystonia is a rare condition

  • We report the case of a 27-year-old female with hemifacial spasm (HFS) who was treated at another neurology clinic for 9 years and diagnosed with Munchausen syndrome by us

  • Detailed records of prior treatment were not available; she reported that only botulinum neurotoxin treatment (BoNT) had been effective for her HFS

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Summary

Introduction

Munchausen syndrome presenting with psychogenic dystonia is a rare condition. Phenomenology Shown: A psychogenic dystonia case presenting with an acute onset of retrocollis, lower limb dystonia and bizarre gait was diagnosed as Munchausen syndrome. We report the case of a 27-year-old female with hemifacial spasm (HFS) who was treated at another neurology clinic for 9 years and diagnosed with Munchausen syndrome by us. At the age of 18, she was diagnosed with HFS by a neurologist. Detailed records of prior treatment were not available; she reported that only botulinum neurotoxin treatment (BoNT) had been effective for her HFS.

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