{"id":"https://openalex.org/W1991711540","doi":"https://doi.org/10.1227/01.neu.0000143371.91901.f8","title":"Munchausen's Syndrome in Neurosurgery: Report of Two Cases and Review of the Literature","display_name":"Munchausen's Syndrome in Neurosurgery: Report of Two Cases and Review of the Literature","publication_year":2004,"publication_date":"2004-12-01","ids":{"openalex":"https://openalex.org/W1991711540","doi":"https://doi.org/10.1227/01.neu.0000143371.91901.f8","mag":"1991711540","pmid":"https://pubmed.ncbi.nlm.nih.gov/15575999"},"language":"en","primary_location":{"id":"doi:10.1227/01.neu.0000143371.91901.f8","doi":"https://doi.org/10.1227/01.neu.0000143371.91901.f8","is_oa":false,"landing_page_url":"https://doi.org/10.1227/01.neu.0000143371.91901.f8","pdf_url":null,"source":{"id":"https://openalex.org/S111727011","display_name":"Neurosurgery","issn_l":"0148-396X","issn":["0148-396X","1081-1281","1524-4040"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurosurgery","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5090874749","display_name":"Shivanand Pramod Lad","orcid":"https://orcid.org/0000-0003-4991-5319","observed_orcids":["https://orcid.org/0000-0003-4991-5319"]},"institutions":[{"id":"https://openalex.org/I1285301757","display_name":"Rush University Medical Center","ror":"https://ror.org/01j7c0b24","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285301757"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Shivanand P. Lad","raw_affiliation_strings":["Department of Neurosurgery, Rush Medical Center, Chicago, Illinois (Lad, Jobe, Polley, Byrne"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Rush Medical Center, Chicago, Illinois (Lad, Jobe, Polley, Byrne","institution_ids":["https://openalex.org/I1285301757"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043101275","display_name":"Kirk W. Jobe","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1285301757","display_name":"Rush University Medical Center","ror":"https://ror.org/01j7c0b24","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285301757"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kirk W. Jobe","raw_affiliation_strings":["Department of Neurosurgery, Rush Medical Center, Chicago, Illinois (Lad, Jobe, Polley, Byrne"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Rush Medical Center, Chicago, Illinois (Lad, Jobe, Polley, Byrne","institution_ids":["https://openalex.org/I1285301757"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077499606","display_name":"John W. Polley","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1285301757","display_name":"Rush University Medical Center","ror":"https://ror.org/01j7c0b24","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285301757"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"John Polley","raw_affiliation_strings":["Department of Neurosurgery, Rush Medical Center, Chicago, Illinois (Lad, Jobe, Polley, Byrne"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Rush Medical Center, Chicago, Illinois (Lad, Jobe, Polley, Byrne","institution_ids":["https://openalex.org/I1285301757"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5005167642","display_name":"Richard W. Byrne","orcid":"https://orcid.org/0000-0001-9862-9373","observed_orcids":["https://orcid.org/0000-0001-9862-9373"]},"institutions":[{"id":"https://openalex.org/I1285301757","display_name":"Rush University Medical Center","ror":"https://ror.org/01j7c0b24","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285301757"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Richard W. Byrne","raw_affiliation_strings":["Department of Neurosurgery, Rush Medical Center, Chicago, Illinois (Lad, Jobe, Polley, Byrne"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Rush Medical Center, Chicago, Illinois (Lad, Jobe, Polley, Byrne","institution_ids":["https://openalex.org/I1285301757"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I1285301757"],"apc_list":null,"apc_paid":null,"fwci":0.4149,"has_fulltext":false,"cited_by_count":16,"citation_normalized_percentile":{"value":0.66589639,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":97},"biblio":{"volume":"55","issue":"6","first_page":"E1459","last_page":"E1462"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11334","display_name":"Psychosomatic Disorders and Their Treatments","score":0.9359999895095825,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11334","display_name":"Psychosomatic Disorders and Their Treatments","score":0.9359999895095825,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12235","display_name":"Child Abuse and Related Trauma","score":0.016200000420212746,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12268","display_name":"Deception detection and forensic psychology","score":0.004699999932199717,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/munchausen-syndrome","display_name":"Munchausen syndrome","score":0.8970000147819519},{"id":"https://openalex.org/keywords/factitious-disorder","display_name":"factitious disorder","score":0.9629999995231628},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.8370000123977661},{"id":"https://openalex.org/keywords/cranial-neurosurgery","display_name":"cranial neurosurgery","score":0.8790000081062317},{"id":"https://openalex.org/keywords/chronic-wounds","display_name":"chronic wounds","score":0.7960000038146973},{"id":"https://openalex.org/keywords/psychiatric-referral","display_name":"psychiatric referral","score":0.765999972820282},{"id":"https://openalex.org/keywords/behavior-modification","display_name":"behavior modification","score":0.5659999847412109}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.949055016040802},{"id":"https://openalex.org/C12770488","wikidata":"https://www.wikidata.org/wiki/Q188449","display_name":"Neurosurgery","level":2,"score":0.6534403562545776},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.4696561396121979},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.4242018759250641},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.25425028800964355},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009110","descriptor_name":"Munchausen Syndrome","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D009493","descriptor_name":"Neurosurgery","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D009493","descriptor_name":"Neurosurgery","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D012886","descriptor_name":"Skull","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1227/01.neu.0000143371.91901.f8","doi":"https://doi.org/10.1227/01.neu.0000143371.91901.f8","is_oa":false,"landing_page_url":"https://doi.org/10.1227/01.neu.0000143371.91901.f8","pdf_url":null,"source":{"id":"https://openalex.org/S111727011","display_name":"Neurosurgery","issn_l":"0148-396X","issn":["0148-396X","1081-1281","1524-4040"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurosurgery","raw_type":"journal-article"},{"id":"pmid:15575999","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/15575999","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurosurgery","raw_type":"Case Reports"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.98580002784729,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"score":0.7599999904632568,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":15,"referenced_works":["https://openalex.org/W1985116219","https://openalex.org/W1987615536","https://openalex.org/W2008265592","https://openalex.org/W2010868268","https://openalex.org/W2018898945","https://openalex.org/W2028064931","https://openalex.org/W2042335848","https://openalex.org/W2044178517","https://openalex.org/W2069103970","https://openalex.org/W2073747155","https://openalex.org/W2076471774","https://openalex.org/W2081705637","https://openalex.org/W2159011576","https://openalex.org/W2911732378","https://openalex.org/W4281687410"],"related_works":["https://openalex.org/W2783530115","https://openalex.org/W4251934435","https://openalex.org/W2312954535","https://openalex.org/W2099946254","https://openalex.org/W2437514826","https://openalex.org/W2406977545","https://openalex.org/W1977071144","https://openalex.org/W2070673046","https://openalex.org/W2027446608","https://openalex.org/W2064546804"],"abstract_inverted_index":{"OBJECTIVE":[0],"AND":[1],"IMPORTANCE:":[2],"Munchausen's":[3,28,43,55,91,173],"syndrome":[4,29,44,56,92,174],"is":[5,45,57,134,175],"a":[6,122,176,192,205,219],"rare":[7,177],"psychiatric":[8,158,178,208,231],"condition,":[9],"in":[10,23,93,181,195],"which":[11],"patients":[12,41,94,100,111],"seek":[13],"medical":[14,20,242],"treatment":[15],"for":[16,104,163,201],"factitious":[17],"or":[18],"self-induced":[19],"problems.":[21],"Reports":[22],"the":[24,40,52,141,149,161,182,196,214,223,237,241],"literature":[25],"of":[26,39,51,79,89,106,121,143,198,207],"postoperative":[27,90,183],"are":[30],"extremely":[31],"rare.":[32],"The":[33,130,185],"major":[34],"obstacle":[35],"to":[36,114,125,135,188,221,233,236,240],"improving":[37],"management":[38,165],"with":[42,148,160],"increasing":[46],"physicians'":[47],"awareness":[48],"and":[49,74,139,166,217,244],"recognition":[50],"disease.":[53],"Although":[54],"rare,":[58],"physicians":[59],"probably":[60],"will":[61,228],"encounter":[62],"at":[63,68],"least":[64],"one":[65],"such":[66],"patient":[67,150],"some":[69],"point":[70],"during":[71],"their":[72,107,117,127],"career":[73],"therefore":[75],"should":[76,169],"be":[77,170],"aware":[78],"this":[80],"disorder.":[81],"CLINICAL":[82],"PRESENTATION:":[83],"We":[84],"report":[85],"two":[86],"documented":[87],"cases":[88],"who":[95],"underwent":[96],"cranial":[97,108,118],"neurosurgery.":[98],"Both":[99,110],"received":[101],"complex":[102],"flaps":[103],"closure":[105],"defects.":[109],"later":[112],"admitted":[113],"deliberately":[115],"reopening":[116],"wounds":[119],"because":[120],"psychological":[123],"desire":[124,220],"continue":[126,222],"illness.":[128],"INTERVENTION:":[129],"primary":[131],"therapeutic":[132],"objective":[133],"achieve":[136],"wound":[137,194,202,215],"healing":[138],"stop":[140],"cycle":[142],"surgical":[144],"procedures.":[145],"Immediate":[146],"confrontation":[147],"often":[151],"does":[152],"more":[153],"harm":[154],"than":[155],"good.":[156],"Instead,":[157],"consultation,":[159],"potential":[162],"nonsurgical":[164],"behavior":[167],"modification,":[168],"obtained.":[171],"CONCLUSION:":[172],"diagnosis,":[179],"especially":[180],"patient.":[184],"common":[186],"clues":[187],"diagnosis":[189],"are:":[190],"1)":[191],"nonhealing":[193],"absence":[197],"risk":[199],"factors":[200],"failure,":[203],"2)":[204],"history":[206],"illness,":[209],"3)":[210],"repeated":[211],"bleeding":[212],"from":[213],"site,":[216],"4)":[218],"sick":[224],"role.":[225],"Early":[226],"detection":[227],"allow":[229],"proper":[230],"referral":[232],"prevent":[234],"injuries":[235],"patient,":[238],"abuses":[239],"system,":[243],"unnecessary":[245],"operations.":[246]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2016,"cited_by_count":3},{"year":2015,"cited_by_count":3},{"year":2013,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}