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Capgras Syndrome with Pregnant Woman: A Case Report and Literature Review

Received: 14 February 2024    Accepted: 5 March 2024    Published: 19 March 2024
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Abstract

Background: Capgras syndrome is one of the delusional misidentification syndromes characterized by the delusional belief by the patient that the close person is replaced by an imposter who looks physically the same. Capgras syndrome was initially considered a purely psychotic disorder, but recently, Capgras syndrome understands as a neurological disorder, in which the delusion primarily results from organic brain lesions or degeneration. The case report aims to review previous literature on topic and present a case of pregnant woman experiencing Capgras delusion under full consciousness and whose expediencies are not linked to any psychiatric or neurological illness. Case presentation: A 29 year old, pregnant woman was brought for psychiatric consultation by her family with chief complaints of belief that her husband had been replaced by identical impostor, associated with irritability, anger and hostility since 4 months and aggravated in the last month. This pregnant woman showing absence of emotional response, no familiarity toward her husband and delusion that her husband replaced by imposter. Conclusion: Capgras syndrome is not necessarily pathological and can occur in a healthy population. Capgras syndrome may happen spontaneously under full consciousness in the healthy subjects; like in neurological and psychiatric patients. In this case report the phenomenological aspects of Capgras syndrome may similar in the content of the delusion to other studies were carried out with psychiatric or neurological patients, but no evidence of depersonalization, physical violence or aggression.

Published in American Journal of Psychiatry and Neuroscience (Volume 12, Issue 1)
DOI 10.11648/j.ajpn.20241201.15
Page(s) 23-27
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Capgras Syndrome, Imposter, Double, Delusional Misidentification Syndromes

References
[1] Klein CA, Hirchan S. The masks of identities: who’s who? Delusional misidentification syndromes. J Am Acad Psychiatry Law. 2014, 42(3), 369-378.
[2] Atta K. Forlenza N, Gujski M, Hashmi S, Isaac G. Delusional misidentification syndromes: separate disorders or unusual presentations of existing DSM-IV categories? Psychiatry (Edgemont). 2006, 3(9), 56-61.
[3] Christodoulou GN. The delusional misidentification syndromes. British Journal of Psychiatry. 1991, 14, 65– 9.
[4] Marneros A. Persistent Delusional Disorders: Myths and Realities. Nova Science. 2012. New York, NY.
[5] Berson RJ. Capgras' syndrome. Am J Psychiatry. 1983, 140(8), 969-78.
[6] Edelstyn NMJ and Oyebode F. A review of the phenomenology and cognitive neuropsychological origins of the Capgras syndrome. International Journal of Geriatric Psychiatry. 1999, 14, 48–59.
[7] Gaël Le Vacon 2006; rough translation: "Clinical approach to Capgras syndrome or 'illusion of doubles' illustrated by a case"-"Approcheclinique du syndrome de Capgrasou «illusion des sosies» illustrée par un cas".
[8] Todd J, Dewhurst K, Wallis G. The syndrome of Capgras. Br J Psychiatry. 1981, 139, 319-327.
[9] Christodoulou, G., Margariti, M., Kontaxakis, V., & Christodoulou, N. The delusional misidentification syndromes: Strange, fascinating, and instructive. Current Psychiatry Reports. 2009, 11(3), 185–189. https://doi.org/10.1007/s11920-009-0029-6
[10] Frazer SJ, Roberts JM. Three cases of Capgras’ syndrome. Br J Psychiatry. 1994, 164(4), 557-559.
[11] Merrin EL, Silberfarb PM. The Capgras phenomenon. Arch Gen Psychiatry. 1976, 33(8), 965-968.
[12] Christodoulou GN. Syndrome of subjective doubles. Am J Psychiatry. 1978, 135, 249–251.
[13] Christodoulou GN. The syndrome of Capgras. Br J Psychiatry. June 1977, 130, 556-564.
[14] Haslam MT. A case of Capgras syndrome. Am J Psychiatry. 1973, 130(4), 493-494.
[15] Silva JA, Tekell JL, Leong GB, Bowden CL. Delusional misidentification of the self associated with nondominant cerebral pathology. J Clin Psychiatry. 1995, 56(4), 171.
[16] Collins MN, Hawthorne ME, Gribbin N, Jacobson R. Capgras’ syndrome with organic disorders. Postgrad Med J. 1990, 66(782), 1064-1067.
[17] Kapur N, Turner A, King C. Reduplicative paramnesia: possible anatomical and neuropsychological mechanisms. J NeurolNeurosurg Psychiatry. 1988, 51 (4), 579-581.
[18] Benson DF, Gardner H, Meadows JC. Reduplicative paramnesia. Neurology. 1976, 26(2), 47-151.
[19] Sumners D. Believing your husband has been replaced by an impostor because you have a pituitary tumour. Br Med J (Clin Res Ed). 1984, 289(6446), 699-700.
[20] Cummings JL, Miller B, Hill MA, Neshkes R. Neuropsychiatric aspects of multiinfarct dementia and dementia of the Alzheimer type. Arch Neurol. 1987, 44 (4), 389-393.
[21] Burns A, Philpot M. Capgras’ syndrome in a patient with dementia. Br J Psychiatry. June 1987, 150, 876-877.
[22] Kumar V. Capgras syndrome in a patient with dementia. Br J Psychiatry. February 1987, 150: 251.
[23] Roane DM, Rogers JD, Robinson JH, Feinberg TE. Delusional misidentification in association with parkinsonism. J Neuropsychiatry ClinNeurosci. 1998, 10 (2), 194-198.
[24] Diesfeldt HF, Troost D. Delusional misidentification and subsequent dementia: aclinical and neuropathological study. Dementia. 1995, 6(2), 94-98.
[25] Josephs KA. The Capgras delusion and its relationship to neurodegenerative disease. Arch Neurol. 2007, 64(12), 1762-1766.
[26] Devinsky O. Behavioral neurology. The neurology of the Capgras delusion. Rev Neurol Dis. 2008, 5(2), 97-100.
[27] Tamam L, Karatas G, Zeren T, Ozpyraz N. The prevalence of Capgras syndrome in a university hospital setting. ActaNeuropsychiatr. 2003, 15(5), 290-295.
[28] Solla P, Cannas A, Floris GL, et al. Behavioral, neuropsychiatric and cognitive disorders in Parkinson’s disease patients with and without motor complications. ProgNeuropsychopharmacolBiol Psychiatry. 2011, 35, 1009-13.
[29] Sathe H, Karia S, De Sousa A, Shah N. Capgras syndrome: a case report. Paripex Indian J Res. 2014, 3(8), 134-135.
[30] Ghatak M., Agrawal A. K., Singhai K. et al. The Capgras delusion of inanimate objects: A duplicate world. Psychiatry Research Case Reports 2. 2023, 100106 https://doi.org/10.1016/j.psycr.2023.100106
[31] Alexander MP, Stuss DT. Capgras syndrome: a reduplicative phenomenon. J Psychosom Res. 1998, 44(6), 637-9.
[32] Bourget D, Whitehurst L: Capgras syndrome: a review of the neurophysiological correlates and presenting clinical features in cases involving physical violence. Can J Psychiatry 2004, 49, 719–725.
[33] Fiacconi CM, Barkley V, Finger EC, et al: Nature and extent of person recognition impairments associated with Capgras syndrome in Lewy body dementia. Front Hum Neurosci 2014, 8, 726.
[34] Ellis HD, Young AW. Accounting for delusional misidentifications. Br J Psychiatry. 1990, 157, 239-48.
[35] Hirstein W, Ramachandran VS. Capgras syndrome: a novel probe for understanding the neural representation of the identity and familiarity of persons. ProcBiol Sci. 1997, 22, 264(1380): 437-44.
[36] Joseph, A. B., Focal central nervous system abnormalities in patients with misiden-tification syndromes. In: The Delusional Misidentification Syndromes, 164. Karger Publishers. 1986, pp. 68–79. https://doi.org/10.1159/000412319
[37] Silva JA, Jalali B, Leong GB: Delusion of exchanged doubles in an immigrant: a new Capgras variant? Int J Soc Psychiatry. 1987, 33, 299-302.
[38] Ellis HD, Luaute JP, Retterstol N. Delusional misidentification syndromes. Psychopathology. 1994, 27, 117–120. [PubMed: 7846223].
[39] Christodoulou GN. Role of depersonalization-derealization phenomena in the delusional misidentification syndromes. BiblPsychiatr. 1986, 164, 99–104. [PubMed: 3718466].
[40] Sno HN. A continuum of misidentification symptoms. Psychopathology. 1994, 27, 144–147.
[41] Thibierge S, Morin C. The self and the subject: a psychoanalytic Lacanian perspective. Neuropsychoanalysis. 2010, 12, 81–93.
[42] DSM-5. Diagnostic and statistical manual of mentaldisorders. 2013American Psychiatric Association 5th ed.
[43] Carabellese, F., Rocca, G., Candelli, C., &Catanesi, R. Mental illness, violence and delusional misidentifications: The role of Capgras’ syndrome in matricide. Journal of Forensic and Legal Medicine. 2014. 21, 9–13.
[44] de Pauw, K. W., &Szulecka, T. K. Dangerous delusions: Violence and the misidentification syndromes. British Journal of Psychiatry. 1988, 152(1), 91–96.
[45] Horn, M., Pins, D., Vaiva, G., Thomas, P., Fovet, T., &Amad, A. Delusional misidentification syndromes: A factor associated with violence? Literature review of case reports. L’Encephale. 2018, 44(4), 372–378.
[46] Silva, J. A., Harry, B. E., Leong, G. B., & Weinstock, R. Dangerous delusional misidentification and homicide. Journal of Forensic Science. 1996. 41(4), 641–644.
[47] Currell, E., Werbeloff, N., Hayes, J. F., & Bell, V. Cognitive neuropsychiatric analysis of an additional large Capgras delusion case series. Cognitive Neuropsychiatry. 2019, 24(2), 123-134. https://doi.org/10.1080/13546805.2019.1584098
[48] Kyrtsos C. R., Stahl M. C., Eslinger P. Capgras Syndrome in a Patient with Parkinson’s disease after Bilateral Subthalamic Nucleus Deep Brain Stimulation: A Case Report. Case Rep Neurol 2015, 7: 127–133 https://doi.org/10.1159/000431081
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  • APA Style

    Numan, N. A. (2024). Capgras Syndrome with Pregnant Woman: A Case Report and Literature Review. American Journal of Psychiatry and Neuroscience, 12(1), 23-27. https://doi.org/10.11648/j.ajpn.20241201.15

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    Numan, N. A. Capgras Syndrome with Pregnant Woman: A Case Report and Literature Review. Am. J. Psychiatry Neurosci. 2024, 12(1), 23-27. doi: 10.11648/j.ajpn.20241201.15

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    AMA Style

    Numan NA. Capgras Syndrome with Pregnant Woman: A Case Report and Literature Review. Am J Psychiatry Neurosci. 2024;12(1):23-27. doi: 10.11648/j.ajpn.20241201.15

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  • @article{10.11648/j.ajpn.20241201.15,
      author = {Nabil Ahmed Numan},
      title = {Capgras Syndrome with Pregnant Woman: A Case Report and Literature Review},
      journal = {American Journal of Psychiatry and Neuroscience},
      volume = {12},
      number = {1},
      pages = {23-27},
      doi = {10.11648/j.ajpn.20241201.15},
      url = {https://doi.org/10.11648/j.ajpn.20241201.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20241201.15},
      abstract = {Background: Capgras syndrome is one of the delusional misidentification syndromes characterized by the delusional belief by the patient that the close person is replaced by an imposter who looks physically the same. Capgras syndrome was initially considered a purely psychotic disorder, but recently, Capgras syndrome understands as a neurological disorder, in which the delusion primarily results from organic brain lesions or degeneration. The case report aims to review previous literature on topic and present a case of pregnant woman experiencing Capgras delusion under full consciousness and whose expediencies are not linked to any psychiatric or neurological illness. Case presentation: A 29 year old, pregnant woman was brought for psychiatric consultation by her family with chief complaints of belief that her husband had been replaced by identical impostor, associated with irritability, anger and hostility since 4 months and aggravated in the last month. This pregnant woman showing absence of emotional response, no familiarity toward her husband and delusion that her husband replaced by imposter. Conclusion: Capgras syndrome is not necessarily pathological and can occur in a healthy population. Capgras syndrome may happen spontaneously under full consciousness in the healthy subjects; like in neurological and psychiatric patients. In this case report the phenomenological aspects of Capgras syndrome may similar in the content of the delusion to other studies were carried out with psychiatric or neurological patients, but no evidence of depersonalization, physical violence or aggression.
    },
     year = {2024}
    }
    

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    AB  - Background: Capgras syndrome is one of the delusional misidentification syndromes characterized by the delusional belief by the patient that the close person is replaced by an imposter who looks physically the same. Capgras syndrome was initially considered a purely psychotic disorder, but recently, Capgras syndrome understands as a neurological disorder, in which the delusion primarily results from organic brain lesions or degeneration. The case report aims to review previous literature on topic and present a case of pregnant woman experiencing Capgras delusion under full consciousness and whose expediencies are not linked to any psychiatric or neurological illness. Case presentation: A 29 year old, pregnant woman was brought for psychiatric consultation by her family with chief complaints of belief that her husband had been replaced by identical impostor, associated with irritability, anger and hostility since 4 months and aggravated in the last month. This pregnant woman showing absence of emotional response, no familiarity toward her husband and delusion that her husband replaced by imposter. Conclusion: Capgras syndrome is not necessarily pathological and can occur in a healthy population. Capgras syndrome may happen spontaneously under full consciousness in the healthy subjects; like in neurological and psychiatric patients. In this case report the phenomenological aspects of Capgras syndrome may similar in the content of the delusion to other studies were carried out with psychiatric or neurological patients, but no evidence of depersonalization, physical violence or aggression.
    
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Author Information
  • Unit of Psychiatry, Faculty of Medicine, Taiz University, Taiz, Yemen

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