Instituto Nacional de Salud Mental Honorio Delgado-Hideyo Noguchi, Lima, Perú; Universidad Peruana Cayetano Heredia, Lima, Perú.
Instituto Nacional de Salud Mental Honorio Delgado-Hideyo Noguchi, Lima, Perú; Universidad Nacional Mayor de San Marcos, Lima, Perú.
Rev Colomb Psiquiatr (Engl Ed). 2020 Apr-Jun;49(2):116-120. doi: 10.1016/j.rcp.2018.09.001. Epub 2018 Oct 8.
Othello syndrome, an eponym of Shakespeare's character, is a transnosological diagnostic term that designates a clinical picture characterised by the presence of delusions of infidelity with respect to a partner and that, consequently, can lead to typical jealousy attitudes and violent behaviour towards the partner. In its pure form, it corresponds to delusional disorder of infidelity, but it may also be secondary to brain organicity and drug use.
Case report and non-systematic review of the relevant literature.
A 26-year-old man, with a history of drug abuse and a victim of domestic violence as a child, presented with tonic-clonic seizures and intracranial hypertension three years ago, for which he underwent a craniotomy with the finding of a right frontal cerebral tuberculoma. After a lapse, he developed a clinical picture of delusions of infidelity regarding his partner and violent behaviour towards her.
Delusional jealousy is associated, like other delusions, with lesions of the right frontal lobe. Despite the high and growing prevalence of tuberculosis worldwide, there are no reported cases of Othello syndrome secondary to cerebral tuberculoma in the literature.
Othello syndrome, although not the main cause of domestic violence, can be associated with particularly violent manifestations and be secondary to cerebral tuberculoma. This is the first published case of its kind.
奥赛罗综合征，源自莎士比亚笔下角色的名字，是一个跨学科的诊断术语，用于描述一种以对伴侣不忠的妄想为特征的临床症状，继而可能导致对伴侣产生典型的嫉妒态度和暴力行为。在其纯粹形式中，它对应于妄想性不忠障碍，但也可能继发于脑器质性疾病和药物使用。
病例报告和对相关文献的非系统性回顾。
一名 26 岁男性，有药物滥用史，且曾是儿童期家庭暴力的受害者，三年前因强直阵挛性发作和颅内压增高就诊，行开颅术，发现右侧额叶脑结核瘤。此后，他出现了对伴侣不忠的妄想和对她的暴力行为。
妄想性嫉妒与其他妄想一样，与右侧额叶的病变有关。尽管全世界结核病的发病率很高且呈上升趋势，但文献中尚无脑结核瘤继发奥赛罗综合征的报道。
奥赛罗综合征虽然不是家庭暴力的主要原因，但可能与特别暴力的表现有关，并且可能继发于脑结核瘤。这是首例此类病例的报道。
