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The importance of proprioception in the diagnosis of cases thought to be Munchausen syndrome

Mustafa Nazim Karalezli, Yunus Guzel, Serhat Yildirim.

Abstract
Munchausen Syndrome is known as a condition where individuals who seek attention for themselves present at healthcare institutions with exaggerated complaints. Diagnosis can be difficult in some cases. In this paper are presented two cases of Munchausen Syndrome diagnosis by removing finger proprioception with local anesthetic based on incompatibility between trauma history and clinical findings. Evaluation of the resting position of the hand is primarily associated with proprioception. Sight and touch are important for proprioception. In patients thought to be potentially faking symptoms in areas where local anesthesia can be applied easily, such as the fingers, removing proprioception in the physical examination is important in diagnosing these individuals.

Key words: Local anesthesia, Munchausen syndrome, proprioception



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