孕妇卡普拉斯综合征:病例报告和文献综述

Nabil Ahmed Numan
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摘要

背景:卡普拉斯综合征(Capgras Syndrome)是妄想性错认综合征之一,其特征是患者妄想亲近的人被一个外表相同的冒名顶替者取代。卡普拉斯综合征最初被认为是一种纯粹的精神病,但最近,卡普拉斯综合征被理解为一种神经系统疾病,其妄想主要是由大脑器质性病变或退化引起的。本病例报告旨在回顾以往的相关文献,并介绍一例孕妇在完全清醒的情况下出现卡普拉斯妄想的病例,其权宜之计与任何精神或神经疾病无关。病例介绍:一名 29 岁的孕妇被家人带到精神科就诊,主诉是她认为自己的丈夫被一个相同的冒名顶替者取代了,自 4 个月以来一直伴有烦躁、愤怒和敌意,最近一个月症状加重。这名孕妇没有情绪反应,对丈夫不熟悉,妄想丈夫被冒名顶替。结论卡普格拉斯综合征不一定是病态的,也可能发生在健康人群中。卡普格拉斯综合征可能在健康人完全清醒的情况下自发发生,也可能发生在神经病人和精神病人身上。在本病例报告中,卡普格拉斯综合征的妄想内容可能与其他针对精神病或神经病患者的研究相似,但没有人格解体、身体暴力或攻击行为的证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Capgras Syndrome with Pregnant Woman: A Case Report and Literature Review
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woman was brought for psychiatric consultation by her family with chief complaints of belief that her husband had been replaced by identical impostor, associated with irritability, anger and hostility since 4 months and aggravated in the last month.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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