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Beyond the Imposter: Deciphering Capgras Syndrome and Multidisciplinary Management.

Manuel Glauco Carbone1,2, Tommaso Merati1, Rossella Miccichè1

  • 1Department of Medicine and Surgery, Division of Psychiatry, University of Insubria, Varese, Italy.

Case Reports in Psychiatry
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Summary

This case report details a patient with Lewy body dementia (LBD) who developed Capgras syndrome (CS), experiencing delusions of imposters. Management involved medication and psychosocial support, showing partial improvement.

Keywords:
Capgras syndromeLewy body dementiadelusional beliefmisidentificationsalience

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Area of Science:

  • Neurology
  • Psychiatry

Background:

  • Capgras syndrome (CS) poses diagnostic challenges, especially when co-occurring with neurodegenerative diseases.
  • Lewy body dementia (LBD) is characterized by cognitive decline, parkinsonism, and hallucinations.

Observation:

  • A 73-year-old female with LBD developed CS, believing her deceased husband was an imposter.
  • The patient exhibited sleep disturbances, cognitive decline, behavioral issues, and visual hallucinations.

Findings:

  • Brain imaging and cognitive assessments were used for diagnosis.
  • A treatment regimen including Lithium sulfate, Citalopram, and Lurasidone was implemented.
  • Psychosocial interventions were integrated into the care plan.

Implications:

  • Managing CS in LBD is complex, requiring personalized, multidisciplinary care.
  • This case adds to the literature on CS in LBD, offering clinical insights.
  • Further research is needed to optimize treatment strategies for this dual diagnosis.