A Possible Case of Capgras Syndrome After a Right Anterior Cerebral Artery Cerebrovascular Accident Treated Successfully With Mirtazapine

摘要

To the Editor: In 1989 the first case of the delusional misidentification syndrome (Capgras syndrome) following minor head trauma in an elderly woman was reported.1 We present a case of a woman with an embolic stroke to the right anterior cerebral artery who went on to develop Capgras syndrome. We also report the novel use of mirtazapine in the treatment of her symptoms.Case ReportOur patient is a 54-year-old black woman who presented to the hospital with an 8-hour history of left-sided weakness. Her past medical history was significant for hypertension. She also described dysphoria for the past year after the death of her mother. Our patient had no other psychiatric history and she was not using any medications prior to admission.