![]() ![]() ![]() Naguy and Al-Tajali 6 reported the case of an adolescent with Frégoli delusions post-TBI.ĭe Clérambault-Kandinsky syndrome, also known as erotomania, the phantom lover syndrome, and psychose passionelle, is the delusion that an exalted yet inaccessible person is in love with the patient. If one hemisphere cannot explain the perception received by the other hemisphere, the patient deals with this discrepancy by confabulating about the experience. 4 Feinberg et al 5 hypothesized that interhemispheric disconnection of cortical areas allows each hemisphere to establish an independent image of an object. The disorder derives its name from Frégoli, an actor known for his great skill in changing his facial expression, and was described by Courbon and Fail in 1927. De Frégoli syndrome is less common than Capgras´ syndrome and is usually associated with schizophrenia. In De Frégoli syndrome, 4 the opposite of Capgras´ syndrome, the patient identifies a familiar person in various other people he or she encounters. Psychiatric eponyms, although they do not impact either the prognostication or the treatment of these cases, are historically intriguing and might be seen as valid diagnostic constructs that can fill the voids in these classificatory systems.Despite general consensus, the current classificatory systems in psychiatry cannot accommodate atypical or complex presentations that do not fit the official diagnostic labels, and the residual category of "other nonspecified disorders" is more of a redundant "wastebasket" diagnosis for such cases. ![]() In the book Phantoms in the Brain: Probing the Mysteries of the Human Mind, 3 Ramachandran and Blakeslee describe a patient with Capgras syndrome following traumatic brain injury (TBI). Ramachandran 2 postulates that a disconnection exists between the fusiform gyrus (concerned with face recognition) and the limbic system (concerned with emotions). Psychoanalytically, the disorder was regarded as the result of the patient’s ambivalent attitude toward the person implicated as an impostor. 1 Capgras syndrome is commonly associated with schizophrenia (based on delusional percept), mood disorders (eg, bipolar), and organic brain syndromes (eg, frontal lobe dysfunction, right hemispheric dysfunction). The disorder was originally described by Capgras and Reboul-Lachaux in 1923 and is also called l’ illusion des sosies. The disorder can involve inanimate objects and is more common in women. 1 The patient accepts the resemblance but believes that 2 different people are present. ![]() " This practice, in part, holds true for some of the syndromes described here.Ĭapgras syndrome describes a delusional misidentification that a person closely related to the patient has been replaced by an impostor. This oversight is reflected in the endless expansion of residual categories to incorporate atypical cases that defy the official labels depicted in these manuals under rubrics like "other nonspecified disorders. A brief description of these psychopathologic entities is provided, along with their historical background and updates from recent literature when available.Īlthough there is a general consensus within the currently available classificatory systems in psychiatry to provide a diagnostic lingua franca among clinicians, these systems sometimes overlook conspicuous and valid psychiatric constructs. Although the current trend in medicine in general is to toss aside eponymous syndromes, many of these eponyms are old names that die hard-they tend to outlive their obituarists. This report provides an anthology of psychiatric eponyms. ![]()
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