カプグラ症候群と多分野管理の解読
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
|August 20, 2025
まとめ
この症例報告は,カプグラ症候群 (CS) を発症したレウィ体認知症 (LBD) の患者を詳細に説明しています. 治療には薬と心理的支援が必要で 部分的な改善が見られた.
科学分野:
- 神経学
- 精神科
背景:
- カップグラス症候群 (CS) は,特に神経変性疾患と併発すると,診断上の課題となる.
- ルイ体の認知症 (LBD) は認知機能低下,パーキンソン病,幻覚によって特徴付けられます.
研究 の 目的:
- カップグラス症候群の 患者の報告です
- 複雑な臨床表現と診断プロセスを説明する.
- LBD の文脈における CS の管理戦略と成果を議論する.
主な方法:
- 73歳の女性で LBDとCSの症例報告
- 診察歴 神経検査 認知診断
- 脳イメージング (MRI/PET) と精神医学評価
- 薬物療法 (硫酸リチウム,シタロプラム,ルラシドン) と心理的介入
主要な成果:
- 患者は偽物の妄想 睡眠障害 認知障害 幻覚を呈した
- 他の精神病や神経疾患を排除するために 差異診断は不可欠でした
- マルチモダルの治療法では,症状が部分的に改善されました.
- このケースは LBD と CS の複雑な相互作用を強調しています
結論:
- ルイ体の認知症におけるカプグラス症候群は,専門的な治療を必要とする複雑な現象である.
- 薬物療法と心理的支援を組み合わせた 統合された治療計画が不可欠です
- 神経退行性の状況でのCSを理解し管理するにはさらなる研究が必要です.
- このケースは 臨床医にとって 重要な洞察力を与えてくれます
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