Young A W, Robertson I H, Hellawell D J, de Pauw K W, Pentland B
Department of Psychology, University of Durham.
Psychol Med. 1992 Aug;22(3):799-804. doi: 10.1017/s003329170003823x.
A right-handed young man with contusions affecting temporo-parietal areas of the right cerebral hemisphere and some bilateral frontal lobe damage became convinced that he was dead (the Cotard delusion), and experienced difficulties in recognizing familiar faces, buildings and places, as well as feelings of derealization. Neuropsychological investigation while these symptoms were resolving revealed impairment on face processing tests. We suggest that these impairments contributed to his Cotard delusion by heightening feelings of unreality, and that the underlying pathophysiology and neuropsychology of the Cotard delusion may be related to other problems involving delusional misidentification.
一名惯用右手的年轻男子，右侧大脑半球颞顶区域有挫伤，双侧额叶也有一些损伤，他开始坚信自己已经死亡（科塔尔妄想），并且在识别熟悉的面孔、建筑物和地点时遇到困难，还伴有现实解体感。在这些症状逐渐缓解期间进行的神经心理学调查显示，他在面部处理测试中存在障碍。我们认为，这些障碍通过加剧虚幻感导致了他的科塔尔妄想，并且科塔尔妄想的潜在病理生理学和神经心理学可能与其他涉及妄想性错误识别的问题有关。
