A Challenging Case of Malingering Mimicking Psychogenic Visual Impairment with Higher Brain Dysfunction

DOI
  • Ishigaki Sayaka
    Department of Ophthalmology, Hokkaido University Graduate School of Medicine
  • Shinmei Yasuhiro
    Department of Ophthalmology, Hokkaido University Graduate School of Medicine
  • Mizoguchi Ayako
    Department of Ophthalmology, Hokkaido University Graduate School of Medicine
  • Chin Shinki
    Department of Ophthalmology, Hokkaido University Graduate School of Medicine
  • Ishida Susumu
    Department of Ophthalmology, Hokkaido University Graduate School of Medicine

Bibliographic Information

Other Title
  • 心因性視覚障害との鑑別に難渋した高次脳機能障害を伴う詐病の1例

Search this article

Description

A 43-year-old male, who was blinded in his righteye in a traffic accident10 years earlier,complained of visual disturbances in his left eye. He was initially diagnosed with psychogenic visual impairment in the left eye caused by the stress of a divorce. Two years later, he visited our clinic again with a left orbital fracture, having been punched in the left eye during a dispute with a customer, and complained once again of visual loss in his left eye. No accompanying organic lesions were found. He persistently demanded a visual handicap certification. MRI showed diffuse brain atrophy, and intelligence tests revealed decreased impressibility. We suspect that his psychogenic visual impairment became malingering as time passed. The higher brain dysfunction might have been overlooked for 10 years, which made difficult to diagnose this case.

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top