Ganser Syndrome Workup

Updated: Nov 11, 2015
  • Author: Daniel Schneider, MD, MA; Chief Editor: Eduardo Dunayevich, MD  more...
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Workup

Laboratory Studies

Standard medical workup should include the following:

  • CBC count with differential
  • Basic metabolic panel
  • Liver function test (and ammonia level if clinically indicated)
  • Erythrocyte sedimentation rate
  • Thyroid function tests
  • Vitamin B-12 levels
  • Rapid plasma reagent (RPR) test
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Imaging Studies

Consider a CT scan or MRI to rule out possible cerebral pathology as indicated.

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Other Tests

An electroencephalogram can be performed to rule out seizure disorder or evidence of delirium.

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Procedures

Consider performing a lumbar puncture if clinically indicated since meningitis and encephalitis can cause the syndrome.

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