Different SPECT findings before and after Capgras’ syndrome in interictal psychosis
We herein report a case of Capgras’ syndrome observed in interictal psychosis in which the single-photon emission computed tomography (SPECT) findings before and after the appearance of the psychotic symptoms differed. SPECT with 99mTc-hexamethyl propyleneamine oxine (HMPAO) revealed worsening of hy...
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| Vydáno v: | Epilepsy & behavior Ročník 9; číslo 1; s. 189 - 192 |
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| Hlavní autoři: | , , , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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01.08.2006
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| ISSN: | 1525-5050, 1525-5069 |
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| Abstract | We herein report a case of Capgras’ syndrome observed in interictal psychosis in which the single-photon emission computed tomography (SPECT) findings before and after the appearance of the psychotic symptoms differed. SPECT with
99mTc-hexamethyl propyleneamine oxine (HMPAO) revealed worsening of hypoperfusion in the entire right hemisphere after onset of the psychotic symptoms. The enhanced hypoperfusion demonstrated by SPECT in the present case seems to indicate a right interhemispheric disconnection resulting in the occurrence of Capgras’ syndrome. |
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| AbstractList | We herein report a case of Capgras’ syndrome observed in interictal psychosis in which the single-photon emission computed tomography (SPECT) findings before and after the appearance of the psychotic symptoms differed. SPECT with
99mTc-hexamethyl propyleneamine oxine (HMPAO) revealed worsening of hypoperfusion in the entire right hemisphere after onset of the psychotic symptoms. The enhanced hypoperfusion demonstrated by SPECT in the present case seems to indicate a right interhemispheric disconnection resulting in the occurrence of Capgras’ syndrome. We herein report a case of Capgras' syndrome observed in interictal psychosis in which the single-photon emission computed tomography (SPECT) findings before and after the appearance of the psychotic symptoms differed. SPECT with 99mTc-hexamethyl propyleneamine oxine (HMPAO) revealed worsening of hypoperfusion in the entire right hemisphere after onset of the psychotic symptoms. The enhanced hypoperfusion demonstrated by SPECT in the present case seems to indicate a right interhemispheric disconnection resulting in the occurrence of Capgras' syndrome.We herein report a case of Capgras' syndrome observed in interictal psychosis in which the single-photon emission computed tomography (SPECT) findings before and after the appearance of the psychotic symptoms differed. SPECT with 99mTc-hexamethyl propyleneamine oxine (HMPAO) revealed worsening of hypoperfusion in the entire right hemisphere after onset of the psychotic symptoms. The enhanced hypoperfusion demonstrated by SPECT in the present case seems to indicate a right interhemispheric disconnection resulting in the occurrence of Capgras' syndrome. We herein report a case of Capgras' syndrome observed in interictal psychosis in which the single-photon emission computed tomography (SPECT) findings before and after the appearance of the psychotic symptoms differed. SPECT with 99mTc-hexamethyl propyleneamine oxine (HMPAO) revealed worsening of hypoperfusion in the entire right hemisphere after onset of the psychotic symptoms. The enhanced hypoperfusion demonstrated by SPECT in the present case seems to indicate a right interhemispheric disconnection resulting in the occurrence of Capgras' syndrome. |
| Author | Horikawa, Hideki Nitazaka, Yoko Yoshida, Ichiro Monji, Akira Kato, Takahiro Kanba, Shigenobu Onitsuka, Toshiaki Hirano, Yoji Sasaki, Masayuki Maekawa, Toshihiko Hashioka, Sadayuki Hirano, Shougo |
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| Cites_doi | 10.1192/bjp.150.1.117 10.1016/j.pscychresns.2004.10.003 10.1176/appi.neuropsych.16.4.543 10.1159/000284871 10.1016/S0033-3182(91)72050-1 10.1111/j.1528-1157.1997.tb01474.x 10.1016/S1525-5050(02)00052-5 10.1002/(SICI)1099-1166(199901)14:1<48::AID-GPS891>3.0.CO;2-0 10.1111/j.1528-1157.1999.tb00886.x 10.1016/S0010-9452(08)70806-2 10.1046/j.0001-690X.2003.00135.x 10.1017/S0033291700029895 10.1111/j.1600-0404.2004.00324.x 10.1192/S0007125000296517 |
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| References_xml | – volume: 40 start-page: S57 year: 1999 end-page: S64 ident: bib14 article-title: Forced normalization: clinical and therapeutic relevance publication-title: Epilepsia – volume: 3 start-page: 303 year: 2002 end-page: 308 ident: bib13 article-title: Forced normalization at the interface between epilepsy and psychiatry publication-title: Epilepsy Behav – volume: 14 start-page: 48 year: 1999 end-page: 59 ident: bib1 article-title: A review of the phenomenology and cognitive neuropsychological origins of the Capgras syndrome publication-title: Int J Geriatr Psychiatry – volume: 110 start-page: 207 year: 2004 end-page: 220 ident: bib5 article-title: The psychiatric comorbidity of epilepsy publication-title: Acta Neurol Scand – volume: 150 start-page: 117 year: 1991 end-page: 121 ident: bib6 article-title: Brain imaging in a case of Capgras’ syndrome publication-title: Br J Psychiatry – volume: 159 start-page: 65 year: 1991 end-page: 69 ident: bib2 article-title: The delusional misidentification syndromes publication-title: Br J Psychiatry – volume: 38 start-page: 847 year: 1997 end-page: 850 ident: bib8 article-title: Periictal Capgras syndrome after clustered ictal fear: depth-electroencephalogram study publication-title: Epilepsia – volume: 35 start-page: 373 year: 1999 end-page: 387 ident: bib12 article-title: Multiple Fregoli delusions after traumatic brain injury publication-title: Cortex – volume: 16 start-page: 543 year: 2004 end-page: 544 ident: bib9 article-title: Interictal psychosis presenting with Fregoli syndrome publication-title: J Neuropsychiatry Clin Neurosci – volume: 21 start-page: 905 year: 1991 end-page: 910 ident: bib3 article-title: Psychiatric, neurological and medical aspects of misidentification syndromes: a review of 260 cases publication-title: Psychol Med – volume: 27 start-page: 211 year: 1994 end-page: 214 ident: bib10 article-title: SPECT data in a case of secondary Capgras delusion publication-title: Psychopathology – volume: 32 start-page: 448 year: 1991 end-page: 451 ident: bib7 article-title: A post-ictal variant of Capgras’ syndrome in patient with a frontal menigioma publication-title: Psychosomatics – volume: 138 start-page: 75 year: 2005 end-page: 84 ident: bib11 article-title: Interictal SPECT in patients with mesial temporal lobe epilepsy and psychosis: a case–control study publication-title: Psychiatry Res – volume: 108 start-page: 460 year: 2003 end-page: 463 ident: bib4 article-title: Capgras syndrome: out of sight, out of mind? 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| SubjectTerms | Adult Antipsychotic Agents - therapeutic use Capgras Syndrome - drug therapy Capgras Syndrome - etiology Capgras’ syndrome Cerebrovascular Circulation - physiology Electroencephalography Epilepsy - complications Epilepsy - diagnosis Epilepsy - physiopathology Female Humans Interictal psychosis Magnetic Resonance Imaging Single-photon emission computed tomography (SPECT) Tomography, Emission-Computed, Single-Photon |
| Title | Different SPECT findings before and after Capgras’ syndrome in interictal psychosis |
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