The Co-occurence of Reduplicative Paramnesia, Intermetamorphosis and Capgras Syndrome: A Case Presentation

Headnote

ABSTRACT

The co-occurence of reduplicative paramnesia, intermetamorphosis and capgras syndrome: a case presentation

Delusional misidentification syndromes include a group of delusional disorders involving a belief that the person(s)/ object(s)/ or place(s) around the patient have changed or have been changed. Those disorders can develop on the basis of mental or neurological disorders. In this paper, a case with Capgras syndrome, intermetamorphosis and reduplicative paramnesia is presented. The patient was a fourty-three years old female and her complaints had been continuing for five years. She displayed reduplicative paramnesia, intermetamorphosis and Capgras syndrome in her history. Her mental status examination scores was 100 for Positive and Negative Symptoms Scale (PANSS, positive signs: 26, negative signs: 20, general psychopathology: 54) and 23 for Mini Mental Test. No pathology could be found in Bender Gestalt test. Because her physical and neurological examinations, as well as laboratory results and imaging findings were unremarkable, she was thought to fulfill the diagnosis criteria for Schizophrenia Paranoid Type (Continuous Course) and she was given 10 sessions of electroconvulsive therapy. The patient was presented in this case report because she had a comorbidity consisting of Capgras syndrome, reduplicative paramnesia and intermetamorphosis and she responded favorably to electroconvulsive treatment.

Key words: Capgras syndrome, delusional misidentification, schizophrenia

ÖZET

Paranoid tip sizofreni tanisi alan bir hastada reduplikatif paramnezi, intermetamorfoz ve capgras sendromu birlikteligi: Bir olgu sunumu

Sanrisal yanlis tanima sendromlari (Delusional mis-identification syndromes), ruhsal veya nörolojik bozukluklar zemininde gelisebilen ve hastanin çevresindeki nesne(ler) ya da yer(ler)in benzerleri ile degistigi ya da degistiril-digine iliskin bir inanci kapsayan bir grup sanrili bozuklugu içermektedir. Bu yazida, Capgras Sendromu, interme-tamorfoz ve reduplikatif paramnezinin birlikte görüldügü bir olgu sunulmustur. Daha önce sizofreni tanisi alan kirk üç yasindaki kadin hastanin yakinmalarinin bes yildir araliksiz devam etmekte oldugu saptanmistir. Öykü ve mental durum muayenesinde, reduplikatif paramnezi, intermetamorfoz ve Capgras sendromu saptanan hasta, psi-kometrik degerlendirmelerde, Pozitif ve Negatif Sendrom Ölçeginden (PANSS) 100 puan (pozitif belirtiler: 26, negatif belirtiler: 20, genel psikopatoloji: 54), Mini Mental Testten ise 23 puan almistir. Bender Gestalt testinde patoloji saptanmamistir. Fiziksel ve nörolojik muayenede özellik saptanmayan, laboratuvar degerlendirmeleri ve görüntüleme bulgulari normal olan hastanin sizofreni, paranoid tip (sürekli gidis gösteren) tanisini karsiladigi düsü-nülmüs ve 10 seans elektrokonvülsif tedavi uygulanmistir. Hastamiz, elektrokonvulsif tedaviye olumlu yanit ver-mesi ve Capgras, reduplikatif paramnezi...