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因使用大麻素导致的卡普格拉综合征:一例伴有影像学表现的病例报告。

Capgras Syndrome Due to Cannabinoids Use: A Case Report With Radiological Findings.

作者信息

Bello Castro Diana Milena, Segura Ayala Laura, Saavedra Sandra, García Sandra, Herrera Ortiz Andrés Felipe

机构信息

Psychiatry, Clinica del Sistema Nervioso Renovar, Bogotá, COL.

Psychiatry, Fundación Universitaria Juan N. Corpas, Bogotá, COL.

出版信息

Cureus. 2022 Jan 19;14(1):e21412. doi: 10.7759/cureus.21412. eCollection 2022 Jan.

DOI:10.7759/cureus.21412
PMID:35198318
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8856642/
Abstract

Capgras syndrome is a part of the delusional misidentification syndromes. In this condition, the patient believes that identical individuals have impersonated the people close to them, leading to aggression or even homicide of their relatives. The following article describes the case of a 28-year-old patient with a history of cannabis consumption who arrived at the emergency department due to an unsuccessful murder attempt against his neighbor. At the mental examination, the patient believed their parents were killed some time ago, and impostors were replacing them; laboratory tests showed tetrahydrocannabinol in the urine sample. Therefore, the diagnosis of Capgras syndrome due to cannabis consumption was performed, and treatment was established with two antipsychotics and one mood stabilizer drug, showing satisfactory results after two months.

摘要

卡普格拉综合征是妄想性错认综合征的一部分。在这种情况下,患者认为长相相同的人冒充了他们身边亲近的人,从而导致对其亲属的攻击甚至谋杀。以下文章描述了一名28岁有吸食大麻史的患者的病例,该患者因对邻居的谋杀未遂而被送往急诊科。在精神检查中,患者认为他们的父母前段时间被杀,冒名顶替者取代了他们;实验室检查显示尿液样本中含有四氢大麻酚。因此,做出了因吸食大麻导致卡普格拉综合征的诊断,并使用两种抗精神病药物和一种情绪稳定剂进行治疗,两个月后取得了满意的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3ac/8856642/40a709cc1420/cureus-0014-00000021412-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3ac/8856642/40a709cc1420/cureus-0014-00000021412-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3ac/8856642/40a709cc1420/cureus-0014-00000021412-i01.jpg

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本文引用的文献

1
Capgras' Delusion: A Systematic Review of 255 Published Cases.卡普格拉妄想症:255 例已发表病例的系统回顾。
Psychopathology. 2019;52(3):161-173. doi: 10.1159/000500474. Epub 2019 Jul 19.
2
Capgras Syndrome and Other Delusional Misidentification Syndromes.卡普格拉综合征及其他妄想性错认综合征
Front Neurol Neurosci. 2018;42:35-43. doi: 10.1159/000475680. Epub 2017 Nov 17.
3
The prevalence of Capgras syndrome in a university hospital setting.大学医院环境中卡普格拉综合征的患病率。
Acta Neuropsychiatr. 2003 Oct;15(5):290-5. doi: 10.1034/j.1601-5215.2003.00039.x.
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Clinical features and imaging findings in a case of Capgras syndrome.一例卡普格拉综合征的临床特征和影像学表现。
Neuropsychiatr Dis Treat. 2013;9:1095-9. doi: 10.2147/NDT.S47293. Epub 2013 Aug 6.
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Capgras Syndrome associated with the use of psychoactive substances.伴有精神活性物质使用的卡普格拉综合征。
Rev Psiquiatr Salud Ment. 2011 Apr;4(2):96-100. doi: 10.1016/j.rpsm.2011.02.002. Epub 2011 May 19.
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[Capgras syndrome: a proposal of neuropsychological battery for assessment].[卡普格拉综合征:一套用于评估的神经心理学测试组合方案]
Rev Esp Geriatr Gerontol. 2011 Sep-Oct;46(5):275-80. doi: 10.1016/j.regg.2011.06.001. Epub 2011 Sep 23.
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Persistent psychosis following the use of Spice.使用香料后出现的持续性精神病。
Schizophr Res. 2011 Aug;130(1-3):285-6. doi: 10.1016/j.schres.2011.04.022. Epub 2011 May 24.
8
[Pharmacogenetics I. Concept, history, objectives and areas of study].[药物遗传学I. 概念、历史、目标及研究领域]
Actas Dermosifiliogr. 2006 Dec;97(10):623-9. doi: 10.1016/s0001-7310(06)73482-2.
9
Capgras syndrome: a review of the neurophysiological correlates and presenting clinical features in cases involving physical violence.卡普格拉综合征:对涉及身体暴力案例中的神经生理相关性及呈现的临床特征的综述
Can J Psychiatry. 2004 Nov;49(11):719-25. doi: 10.1177/070674370404901102.
10
Capgras symptoms with an organic basis.具有器质性基础的卡普格拉症状。
Br J Psychiatry. 1973 Dec;123(577):639-42. doi: 10.1192/bjp.123.6.639.