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      Aparición de delirio de Capgras tras afección por hemorragia subaracnoidea en paciente con trastorno mental grave Translated title: Emergence of Capgras delusion after a subarachnoid hemorrhage in a patient with severe mental disorder

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          Abstract

          Se presenta el caso de una paciente con trastorno mental grave que tras sufrir una hemorragia subaracnoidea comienza a manifestar la idea delirante consistente en que unos dobles usurpan la identidad de personas allegadas a ella (delirio de Capgras). Se observa a la paciente durante proceso rehabilitador en unidad de media estancia dos años después del episodio HSA, donde ingresa por empeoramiento y viraje psicopatológico. Las distintas teorías o modelos que por sí solos han intentado dar cuenta de la etiopatogenia del delirio de Capgras no consiguen explicarlo de forma satisfactoria. Aunque algunos enfatizan su origen orgánico la realidad es que no hay localización de un daño común para todos los casos, y no siempre es posible determinarlo. El interés del caso que aquí se estudia estriba en la coexistencia de diversos factores implicados, orgánicos y no orgánicos, así como en la propia resolución del delirio. Utilizando un enfoque etiopatogénico multifactorial se hipotetizará acerca de la particular formación del delirio de Capgras en la paciente, atendiendo a las propuestas teóricas existentes e introduciendo cuestiones idiosincrásicas pertinentes, factores personales y ambientales que no deben obviarse. Tras el análisis del caso y en base a algunos resultados hallados se discute finalmente acerca de cuestiones tales como la unicidad del fenómeno y sus posibles implicaciones terapéuticas.

          Translated abstract

          It presents a case of a patient with severe mental disorder who after suffering a subarachnoid hemorrhage starts manifiestar the delusion that some doubles are usurping the identity of people close to her (Capgras delusion). It observes the patient during the rehabilitation process in medium-stay unit two years after the episode HSA, where entered for worsening and the psychopathology evolution. The various theories or models alone that have tried to explain the etiology of Capgras delusion fail to explain successfully. Although some emphasize an organic origin, the reality is that no damage on a common location for all cases and not always possible to determine it. The interest of the case studied here lies in the coexistence of different factors involved, organics and not organics, and particular resolution of the delirium. Using a multivariate approach it has hypothesized about the Capgras delusion singular formation in the patient, taking into account the existing theoretical proposals and introducing relevant issues idiosyncratic, personal and environmental factors, that should not be ignored. After analyzing the case and based on some results finally it has found out, it discussed about issues such as the oneness of the phenomenon and its possible therapeutic implications.

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          Most cited references15

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          Delusional Beliefs

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            Delirio de Capgras: una revisión de las teorías etiológicas

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              Síndrome de Capgras: análisis crítico a propósito de dos casos

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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                neuropsiq
                Revista de la Asociación Española de Neuropsiquiatría
                Rev. Asoc. Esp. Neuropsiq.
                Asociación Española de Neuropsiquiatría (Madrid, Madrid, Spain )
                0211-5735
                2340-2733
                September 2013
                : 33
                : 119
                : 607-616
                Affiliations
                [01] Huesca orgnameHospital General San Jorge España
                Article
                S0211-57352013000300011
                10.4321/S0211-57352013000300011
                f86ae7ad-fdf7-43cd-b032-cde4895770e0

                This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 International License.

                History
                : 31 December 2012
                : 20 May 2013
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 14, Pages: 10
                Product

                SciELO Spain


                Capgras,Delirio,Síndrome de Capgras,Etiología,Neuropsicología,Delusion,Capgras Syndrome,Etiology,Neuropsychology

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