Arısoy Ozden, Tufan A Evren, Bilici Rabia, Taskiran Sarper, Topal Zehra, Demir Nuran, Cansız M Akif
Department of Psychiatry, Abant Izzet Baysal University Medical Faculty, 14280 Bolu, Turkey.
Department of Child and Adolescent Psychiatry, Abant Izzet Baysal University Medical Faculty, 14280 Bolu, Turkey.
Case Rep Psychiatry. 2014;2014:360480. doi: 10.1155/2014/360480. Epub 2014 Sep 23.
Delusional misidentification syndromes may be superimposed on neurological or psychiatric disorders and include delusional beliefs that the people, objects, or places around the patient change or are made to change with one another. In this paper, an adolescent patient displaying Capgras syndrome, metamorphosis, reverse-intermetamorphosis, misidentification of reflection, and reduplicative paramnesia was presented. The findings that our patient struggled with visuospatial tests applied in the acute phase as well as the observation that she refused to meet her family face-to-face while accepting to speak on the phone may support the role of right hemisphere and visuospatial functions in the development of those syndromes. Further studies or case series evaluated more extensively are needed to reveal the relationship between right hemisphere functions and delusional misidentification syndromes.
妄想性身份识别障碍可能叠加于神经或精神疾病之上,包括患者认为其周围的人、物体或地点发生了变化或相互之间被改变的妄想信念。本文报告了一名患有卡普格拉综合征、变身症、反向变身症、镜中误认和替身综合征的青少年患者。我们的患者在急性期进行视觉空间测试时遇到困难,以及她拒绝与家人面对面见面但却愿意通过电话交谈这一观察结果,可能支持右半球和视觉空间功能在这些综合征发展中的作用。需要进行更广泛评估的进一步研究或病例系列,以揭示右半球功能与妄想性身份识别障碍之间的关系。