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Cotard delusion after brain injury

Published online by Cambridge University Press:  09 July 2009

A. W. Young ,
I. H. Robertson ,
D. J. Hellawell ,
K. W. De Pauw  and
B. Pentland
A. W. Young*
Affiliation:
Department of Psychology, University of Durham; MRC Applied Psychology Unit, Cambridge; Department of Psychiatry, Doncaster Royal Infirmary; and Astley Anslie Hospital, Edinburgh
I. H. Robertson
Affiliation:
Department of Psychology, University of Durham; MRC Applied Psychology Unit, Cambridge; Department of Psychiatry, Doncaster Royal Infirmary; and Astley Anslie Hospital, Edinburgh
D. J. Hellawell
Affiliation:
Department of Psychology, University of Durham; MRC Applied Psychology Unit, Cambridge; Department of Psychiatry, Doncaster Royal Infirmary; and Astley Anslie Hospital, Edinburgh
K. W. De Pauw
Affiliation:
Department of Psychology, University of Durham; MRC Applied Psychology Unit, Cambridge; Department of Psychiatry, Doncaster Royal Infirmary; and Astley Anslie Hospital, Edinburgh
B. Pentland
Affiliation:
Department of Psychology, University of Durham; MRC Applied Psychology Unit, Cambridge; Department of Psychiatry, Doncaster Royal Infirmary; and Astley Anslie Hospital, Edinburgh
*
1 Address for correspondence: Professor Andrew W. Young, Department of Psychology, University of Durham, Science Laboratories, South Road, Durham DH1 3LE.
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Synopsis

A right-handed young man with contusions affecting temporo-parietal areas of the right cerebral hemisphere and some bilateral frontal lobe damage became convinced that he was dead (the Cotard delusion), and experienced difficulties in recognizing familiar faces, buildings and places, as well as feelings of derealization. Neuropsychological investigation while these symptoms were resolving revealed impairment on face processing tests. We suggest that these impairments contributed to his Cotard delusion by heightening feelings of unreality, and that the underlying pathophysiology and neuropsychology of the Cotard delusion may be related to other problems involving delusional misidentification.

Type
Case Report
Information
Psychological Medicine , Volume 22 , Issue 3 , August 1992 , pp. 799 - 804
Copyright
Copyright © Cambridge University Press 1992

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References

REFERENCES

Alexander, M. P., Stuss, D. T. & Benson, D. F. (1979). Capgras syndrome: a reduplicative phenomenon. Neurology 29, 334–339.CrossRefGoogle ScholarPubMed
Ardila, A. & Rosseli, M. (1988). Temporal lobe involvement in Capgras syndrome. International Journal of Neuroscience 43, 219–224.CrossRefGoogle ScholarPubMed
Benton, A. L. (1974). Revised Visual Retention Test, 4th edn.The Psychological Corporation: New York.Google Scholar
Benton, A. L. (1990). Facial recognition 1990. Cortex 26, 491–499.CrossRefGoogle ScholarPubMed
Benton, A. L., Hamsher, K.de, S.Varney, N. & Spreen, O. (1983). Contributions to Neuropsychological Assessment: A Clinical Manual. Oxford University Press: Oxford.Google Scholar
Bleeker, J. A. C. & Sno, H. (1983). Het syndroom van Cotard: een herwaardering aan de hand van twee patienten met een onsterfelijkheidswaan. Tijdschrift voor Psychiatrie 25, 665–675.Google Scholar
Campbell, S., Volow, M. R. & Cavenar, J. O. Jr. (1981). Cotard's syndrome and the psychiatric manifestations of typhoid fever. American Journal of Psychiatry 138, 1377–1378.Google Scholar
Christodoulou, G. N. (1986). Role of depersonalization–derealization phenomena in the delusional misidentification syndromes. Bibliotheca Psychiatrica 164, 99–104.Google Scholar
Cotard, J. (1882). Du délire des négations. Archives Neurologique 4, 150–170 and 282–296.Google Scholar
Crichton, P. & Lewis, S. (1990). Delusional misidentification, AIDS and the right hemisphere. British Journal of Psychiatry 157, 608–610.CrossRefGoogle ScholarPubMed
Critchley, E. M. R. (1989). The neurology of familiarity. Behavioural Neurology 2, 195–200.Google Scholar
Diller, L., Ben-Yishay, Y., Gerstman, L., Goodkin, R., Gordon, W. & Weinberg, J. (1974). Studies in Cognition and Rehabilitation in Hemiplegia. Rehabilitation Monograph No. 50. University Medical Center: New York.Google Scholar
Drake, M. E. Jr. (1988). Cotard's syndrome and temporal lobe epilepsy. Psychiatric Journal of the University of Ottawa 13, 36–39.Google ScholarPubMed
Ekman, P. & Friesen, W. (1976). Pictures of Facial Affect. Consulting Psychologists Press: Palo Alto, Ca.Google Scholar
Ellis, H. D. (1983). The role of the right hemisphere in face perception. In Functions of the Right Cerebral Hemisphere (ed. Young, A. W.), pp. 33–64. Academic Press: London.CrossRefGoogle Scholar
Ellis, H. D. & Young, A. W. (1990). Accounting for delusional misidentifications. British Journal of Psychiatry 157, 239–248.CrossRefGoogle ScholarPubMed
Enoch, M. D. & Trethowan, W. H. (1979). Uncommon Psychiatric Syndromes, 2nd edn.John Wright, Bristol.Google Scholar
Golden, C. J., Hammeke, T. A. & Purisch, A. P. (1985). Luria-Nebraska Neuropsychological Battery. Western Psychological Services: Los Angeles.Google Scholar
Greenberg, D. B., Hochberg, F. H. & Murray, G. B. (1984). The theme of death in complex partial seizures. American Journal of Psychiatry 141, 1587–1589.Google ScholarPubMed
Hanley, J. R., Pearson, N. & Young, A. W. (1990). Impaired memory for new visual forms. Brain 113, 1131–1148.Google Scholar
Joseph, A. B. (1986). Cotard's syndrome with coexistent Capgras' syndrome, syndrome of subjective doubles, and palinopsia. Journal of Clinical Psychiatry 47, 605–606.Google ScholarPubMed
Joseph, A. B. & O'Leary, D. H. (1986). Brain atrophy and interhemispheric fissure enlargement in Cotard's syndrome. Journal of Clinical Psychiatry 47, 518–520.Google ScholarPubMed
Joseph, A. B., O'Leary, D. H. & Wheeler, H. G. (1990). Bilateral atrophy of the frontal and temporal lobes in schizophrenic patients with Capgras syndrome: a case-control study using computed tomography. Journal of Clinical Psychiatry 51, 322–325.Google ScholarPubMed
Kapur, N., Turner, A. & King, C. (1988). Reduplicative paramnesia: possible anatomical and neuropsychological mechanisms. Journal of Neurology, Neurosurgery and Psychiatry 51, 579–581.CrossRefGoogle ScholarPubMed
Kapur, N., Young, A. W., Bateman, D. & Kennedy, P. (1989). Focal retrograde amnesia: a long-term clinical and neuropsychological follow-up. Cortex 25, 387–402.CrossRefGoogle ScholarPubMed
Lewis, S. W. (1987). Brain imaging in a case of Capgras' syndrome. British Journal of Psychiatry 150, 117–121.Google Scholar
Maack, L. H. & Mullen, P. E. (1983). The Doppelgänger, disintegration and death: a case report. Psychological Medicine 13, 651–654.Google Scholar
Meadows, J. C. (1974). The anatomical basis of prosopagnosia. Journal of Neurology, Neurosurgery, and Psychiatry 37, 489–501.Google Scholar
Nelson, H. E. (1983). National Adult Reading Test. NFER-Nelson: Windsor.Google Scholar
Newcombe, F., de Haan, E. H. F., Ross, J. & Young, A. W. (1989). Face processing, laterality, and contrast sensitivity. Neuropsychologia 27, 523–538.CrossRefGoogle ScholarPubMed
Stolk, P. J. (1984). Psychiatrische verkenningen. De Arbeiderspers: Amsterdam.Google Scholar
Teasdale, G. & Jennett, W. B. (1974). The Glasgow coma scale. Lancet ii, 81–84.CrossRefGoogle Scholar
Warrington, E. K. (1984). Recognition Memory Test. NFER-Nelson: Windsor.Google Scholar
Young, A. W. (1992 a). Assessment of visual perceptual impairment. In Neuropsychological Assessment (ed. Harding, L. and Beech, J.). NFER-Nelson: Windsor. (In the press.)Google Scholar
Young, A. W. (1992 b). Face recognition impairments. Philosophical Transactions of the Royal Society, B 335, 47–54.Google ScholarPubMed
Young, A. W. & Ellis, H. D. (1989). Childhood prosopagnosia. Brain and Cognition 9, 16–47.Google Scholar
Young, A. W., Ellis, H. D., Szulecka, T. K. & de Pauw, K. W. (1990). Face processing impairments and delusional misidentification. Behavioural Neurology 3, 153–168.CrossRefGoogle ScholarPubMed
Zigmond, A. S. & Snaith, R. P. (1983). The Hospital Anxiety and Depression scale. Acta Psychiatrica Scandinavica 67, 361–370.CrossRefGoogle ScholarPubMed