Presentation
The present illness episode began after the patient stopped taking his seizure medicines at the advice of a faith healer. [ncbi.nlm.nih.gov]
Capgras Syndrome: A Review of the Neurophysiological Correlates and Presenting Clinical Features in Cases Involving Physical Violence. The Canadian Journal of Psychiatry, Vol. 49, Issue. 11, p. 719. [cambridge.org]
This means that the caregiver gives frequent reminders of present time and location, including reminders of major life events, moves, or any substantial changes. The underlying cause of Capgras syndrome will be treated as much as possible. [healthline.com]
Fred presented progressive cognitive deterioration characterised both by severity and fast decline. [en.wikipedia.org]
Neurologic
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Confabulation
Confabulation and delusion: A common monitoring framework. Cognitive Neuropsychiatry, Vol. 15, Issue. 1-3, p. 346. CrossRef Google Scholar Bortolotti, Lisa Cox, Rochelle and Barnier, Amanda 2012. Can we recreate delusions in the laboratory?. [cambridge.org]
Instead, Capgras sufferers often become hyper-detailed in their observations, as a means to confabulate an explanation for a world that makes little sense. [nautil.us]
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Aura
The neurological diagnosis remained primary generalized epilepsy, without a known history of aura, focal symptoms, or documented focal neurological deficits before or after seizures; the same characterized past episodes and on this occasion. [ncbi.nlm.nih.gov]
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Convulsions
In the past, erratic adherence with medicine resulted in recurrent episodes of generalized tonic-clonic convulsions. [ncbi.nlm.nih.gov]
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Generalized Seizure
An electroencephalogram (EEG) at that time evidenced wave patterns suggestive of generalized seizure activity. [ncbi.nlm.nih.gov]
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Focal Neurological Deficit
The neurological diagnosis remained primary generalized epilepsy, without a known history of aura, focal symptoms, or documented focal neurological deficits before or after seizures; the same characterized past episodes and on this occasion. [ncbi.nlm.nih.gov]
Urogenital
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Incontinence
Incontinence of urine was noted. The patient said that he could hear voices arising within a thick smoke in the room. He also claimed that his wife, relatives, and neighbors were “duplicates.” His belief did not change despite logic to the contrary. [ncbi.nlm.nih.gov]
Treatment
Right now, there is no prescribed treatment plan for people with Capgras syndrome because more research needs to be done. But there are treatment options that may help relieve the symptoms. Treatment aims to address the underlying cause. [healthline.com]
Treatment-resistant, five-year long, postpartum-onset Capgras episode resolving after electroconvulsive therapy. The International Journal of Psychiatry in Medicine, Vol. 49, Issue. 3, p. 227. CrossRef Google Scholar Jedidi, H. Daury, N. Capa, R. [cambridge.org]
Treatment [ edit ] Treatment has not been well studied and so there is no evidence-based approach. [34] Treatment is generally therapy, often with support of antipsychotic medication. [34] [35] History [ edit ] Capgras syndrome is named after Joseph Capgras [en.wikipedia.org]
Etiology
Capgras syndrome presents during a variety of psychiatric diseases and somatic etiologies. Capgras syndrome and other delusional misidentification disorders mandate a thorough evaluation for etiological diagnosis. [ncbi.nlm.nih.gov]