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Postictal Capgras syndrome.

M E Drake1

  • 1Department of Neurology, Ohio State University College of Medicine, Columbus.

Clinical Neurology and Neurosurgery
|January 1, 1987
PubMed
Summary
This summary is machine-generated.

Capgras syndrome, a delusion of doubles, can be linked to brain disease. In one case, these delusions in the postictal state resolved with improved seizure control.

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Area of Science:

  • Neurology
  • Neuropsychiatry

Background:

  • Capgras syndrome is a rare delusion where familiar individuals are perceived as impostors.
  • It is occasionally associated with cerebral disease, particularly affecting the nondominant hemisphere.

Observation:

  • A patient with chronic right cerebral hemisphere dysfunction and complex partial seizures originating from the right temporal lobe presented with Capgras syndrome.

Findings:

  • The Capgras delusions occurred specifically in the postictal state following seizures.
  • Effective seizure control led to the cessation of these delusions.

Implications:

  • This case suggests a potential link between temporal lobe epilepsy and Capgras syndrome.
  • The findings may indicate a role for interhemispheric interactions or disinhibition in the pathophysiology of Capgras syndrome.