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Cotard and Capgras syndrome after ischemic stroke.

Fabrizio Sottile1, Lilla Bonanno2, Giuseppina Finzi3

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Summary

This study presents a rare case of Capgras and Cotard syndromes co-occurring in a stroke patient. Psychological assessment confirmed the comorbidity, offering insights into these complex delusional misidentification disorders.

Keywords:
AphasiaCapgras syndromeCotard syndromemisidentification diseasesstroke

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Neurology

Background:

  • Capgras syndrome and Cotard syndrome are rare delusional misidentification syndromes.
  • These syndromes involve delusions concerning oneself, others, places, or objects.
  • Comorbidity of Capgras and Cotard syndromes is exceptionally uncommon.

Observation:

  • A patient with aphasic stroke, caused by cerebral ischemia in the right temporoparietal region, was studied.
  • The patient exhibited a clinical presentation consistent with a delusional disorder.

Findings:

  • Psychological assessment revealed the patient suffered from a comorbid presentation of both Capgras and Cotard syndromes.
  • This case highlights the potential for co-occurrence of these distinct delusional misidentification syndromes.

Implications:

  • Understanding the neurobiological underpinnings of comorbid Capgras and Cotard syndromes is crucial.
  • This case may inform diagnostic approaches and treatment strategies for patients with complex delusional disorders.
  • Further research is warranted to explore the mechanisms behind the comorbidity of these syndromes.