创伤性脑损伤后科塔尔综合征（伴卡普格拉妄想）的昼夜变化。
Diurnal variation in Cotard's syndrome (copresent with Capgras delusion) following traumatic brain injury.
作者信息
Butler P V
机构信息
Royal Rehabilitation Centre, Ryde, New South Wales, Australia.
出版信息
Aust N Z J Psychiatry. 2000 Aug;34(4):684-7. doi: 10.1080/j.1440-1614.2000.00758.x.
OBJECTIVE
The aim of this paper is to document regular nocturnal intensification of delusional nihilistic and persecutory ideas (Cotard delusion) linked with extreme depersonalisation and hypervivid dreaming.
CLINICAL PICTURE
A 17-year-old man presented with Cotard and Capgras delusions after sustaining multiple cognitive impairments secondary to traumatic brain injury.
TREATMENT AND OUTCOME
Delusional ideation fully resolved within 14 days of commencement of olanzapine 5 mg daily.
CONCLUSION
This patient's experience of perceptual abnormalities and impairments in meta-abilities related to self-monitoring and critical inferencing lends support to multicomponent sensory processing accounts of brain injury related, content-specific delusional syndromes.
目的
本文旨在记录与极度人格解体和超逼真梦境相关的虚无妄想和被害妄想（科塔尔妄想）的夜间规律性强化。
临床表现
一名17岁男性在因创伤性脑损伤继发多种认知障碍后出现科塔尔和卡普格拉妄想。
治疗与结果
在开始每日服用5毫克奥氮平后的14天内，妄想观念完全消失。
结论
该患者在与自我监测和批判性推理相关的元能力方面的感知异常和损伤经历，支持了与脑损伤相关的、内容特定的妄想综合征的多成分感觉加工理论。
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