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Capgras syndrome. Where to find it?
INTRODUCTION: Capgras syndrome, where patients have the conviction that one or more close people have been replaced by a “double,” is the most prevalent delusional misidentification syndrome. It appears in psychiatric illness and organic brain damage. It seems to be due to damage of bifrontal and ri...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9475650/ http://dx.doi.org/10.1192/j.eurpsy.2021.1267 |
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author | Carrasco, I.D.L.M. Santos Cerejeira, J. Gonçalves Vázquez, E. Rodríguez Meseguer, C. Capella De Llano De La Viuda, M. Queipo Valera, G. Guerra Ramírez, A. Gonzaga De Andrés Lobo, C. Adame, C. Vallecillo Aparicio, T. Jiménez Escudero, A. Pérez |
author_facet | Carrasco, I.D.L.M. Santos Cerejeira, J. Gonçalves Vázquez, E. Rodríguez Meseguer, C. Capella De Llano De La Viuda, M. Queipo Valera, G. Guerra Ramírez, A. Gonzaga De Andrés Lobo, C. Adame, C. Vallecillo Aparicio, T. Jiménez Escudero, A. Pérez |
author_sort | Carrasco, I.D.L.M. Santos |
collection | PubMed |
description | INTRODUCTION: Capgras syndrome, where patients have the conviction that one or more close people have been replaced by a “double,” is the most prevalent delusional misidentification syndrome. It appears in psychiatric illness and organic brain damage. It seems to be due to damage of bifrontal and right limbic and temporal regions, mainly in the right hemisphere. OBJECTIVES: To review the pathologies associated to Capgras Syndrome and the relevance of the differential diagnosis METHODS: 53-year-old female was admitted due to great sadness, crying, social withdrawal and severe paranoid concerns over the last month. Follow-up in Mental Health since 2014, because of anxious depression. After her mother’s death, she felt being followed because of old faults. Since then, low dosis of antipsychotics were used. Now she is afraid of being harmed in relation to petty thefts she committed over 15 years ago. In recent days, she has been noticing small details indicating that her family members have been impersonated by strangers, showing anguish regarding their whereabouts. RESULTS: During her admission, high doses of antidepresants and paliperidone 6 mg/day were used with the complete disappearance of Capgras Syndrome and her anguish. Mild guilty thoughts were present after her discharge. That is why she was diagnosed with psychotic depression. CONCLUSIONS: Capgras syndrome can be encountered in primary psychiatric diagnosis (particularly in schizophrenia and mood disorders) – where an organic element may exist in about a third of all cases – or secondary to organic disorders or medication-induced, through to overt organic brain damage, particularly in neurodegenerative disease. |
format | Online Article Text |
id | pubmed-9475650 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-94756502022-09-29 Capgras syndrome. Where to find it? Carrasco, I.D.L.M. Santos Cerejeira, J. Gonçalves Vázquez, E. Rodríguez Meseguer, C. Capella De Llano De La Viuda, M. Queipo Valera, G. Guerra Ramírez, A. Gonzaga De Andrés Lobo, C. Adame, C. Vallecillo Aparicio, T. Jiménez Escudero, A. Pérez Eur Psychiatry Abstract INTRODUCTION: Capgras syndrome, where patients have the conviction that one or more close people have been replaced by a “double,” is the most prevalent delusional misidentification syndrome. It appears in psychiatric illness and organic brain damage. It seems to be due to damage of bifrontal and right limbic and temporal regions, mainly in the right hemisphere. OBJECTIVES: To review the pathologies associated to Capgras Syndrome and the relevance of the differential diagnosis METHODS: 53-year-old female was admitted due to great sadness, crying, social withdrawal and severe paranoid concerns over the last month. Follow-up in Mental Health since 2014, because of anxious depression. After her mother’s death, she felt being followed because of old faults. Since then, low dosis of antipsychotics were used. Now she is afraid of being harmed in relation to petty thefts she committed over 15 years ago. In recent days, she has been noticing small details indicating that her family members have been impersonated by strangers, showing anguish regarding their whereabouts. RESULTS: During her admission, high doses of antidepresants and paliperidone 6 mg/day were used with the complete disappearance of Capgras Syndrome and her anguish. Mild guilty thoughts were present after her discharge. That is why she was diagnosed with psychotic depression. CONCLUSIONS: Capgras syndrome can be encountered in primary psychiatric diagnosis (particularly in schizophrenia and mood disorders) – where an organic element may exist in about a third of all cases – or secondary to organic disorders or medication-induced, through to overt organic brain damage, particularly in neurodegenerative disease. Cambridge University Press 2021-08-13 /pmc/articles/PMC9475650/ http://dx.doi.org/10.1192/j.eurpsy.2021.1267 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Abstract Carrasco, I.D.L.M. Santos Cerejeira, J. Gonçalves Vázquez, E. Rodríguez Meseguer, C. Capella De Llano De La Viuda, M. Queipo Valera, G. Guerra Ramírez, A. Gonzaga De Andrés Lobo, C. Adame, C. Vallecillo Aparicio, T. Jiménez Escudero, A. Pérez Capgras syndrome. Where to find it? |
title | Capgras syndrome. Where to find it? |
title_full | Capgras syndrome. Where to find it? |
title_fullStr | Capgras syndrome. Where to find it? |
title_full_unstemmed | Capgras syndrome. Where to find it? |
title_short | Capgras syndrome. Where to find it? |
title_sort | capgras syndrome. where to find it? |
topic | Abstract |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9475650/ http://dx.doi.org/10.1192/j.eurpsy.2021.1267 |
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