Cotard syndrome and intelectual desability
Keywords:
Cotard syndrome, delusions, nihilistic, psychosis, Intellectual disabilityAbstract
Introduction: Cotard syndrome is a rare neuropsychiatric condition where the patient denies the existence of parts of his body or his own existence.
Objective: Describe the psychopathological alterations in a patient with a diagnosis of intellectual disability and Cotard syndrome.
Clinical case: Male, 18 years old, low academic performance; It began at the age of 9 with refusal of food, theft of objects and lack of hygiene. At the time of his admission, he reports that he is constantly pursued by men who want to kill him again (delusional ideas of harm) and coenestopathic delusions. During admission, mental retardation is diagnosed and nihilistic delusions are reinforced. He is subjected to electroconvulsive therapy without results. After several weeks of admission, remission is achieved
with the combination of clozapine, lithium carbonate and levomepromazine.
Conclusions: Cotard syndrome in association with intellectual disability is a rare diagnosis of exclusion
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References
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8. Sahoo A, Josephs KA. A Neuropsychiatric Analysis of the Cotard Delusion. The Journal of neuropsychiatry and clinical neurosciences. [Internet]. 2018 [cited 2023 Nov 29];30(1):58–65. Disponible en: https://doi.org/10.1176/appi.neuropsych.17010018
9. Casas Lopez AC. Delirios de Cotard, descripción de dos casos. Delirio de negación en la melancolía frente a delirio de negación en la paranoia. Revista Colombiana de psiquiatría. [Internet]. 2022 [cited 2023 Nov 29];51(2):158-162. Disponible en: https://doi.org/10.1016/j.rcp.2020.10.012
10. Fabrazzo M, Giannelli L, Riolo S, Fuschillo A, Perris F, Catapano F. A hypothesis on Cotard's syndrome as an evolution of obsessive-compulsive disorder. International review of psychiatry (Abingdon, England). [Internet]. 2022 [cited 2023 Nov 29];33(1-2):23–28. Disponible en: https://doi.org/10.1080/09540261.2020.1810425
11. Subhas N, Naing KO, Su C. et al. Case report on Cotard’s syndrome (CS) in a patient with schizophrenia: a rare case from Malaysia. Egypt J Neurol Psychiatry Neurosurg. [Internet]. 2021 [cited 2023 Nov 29];57:107. disponible en: https://doi.org/10.1186/s41983-021-00359-4
12. Huarcaya-Victoria J, Herrera D, Meneses A. SPECT Cerebral en Pacientes con Síndrome de Cotard: a Propósito de dos Casos. Revista Colombiana de Psiquiatría. [Internet]. 2022 [cited 2023 Nov 29];. Disponible en: https://doi.org/10.1016/j.rcp.2022.06.004
13. Rivera-Encinas MT, Huarcaya-Victoria J, Aliaga-Tinoco S. Síndrome de Cotard y retraso mental: reporte de un caso. Rev. chil. neuro-psiquiatr. [Internet]. 2020 [cited 2023 Nov 29];58(4):425-430. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-92272020000400425&lng=es
14. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM- 5). Washington DC: APA; 2013.
15. Yamada K, Katsuragi S, Fujii I. A case study of Cotard's syndrome: stages and diagnosis. Acta Psychiatr Scand. 1999;100(5):396-9. Disponible en: https://doi.org/10.1111/j.1600-0447.1999.tb10884.x
2. McGreal AE, Boles MK, Boyanchek I. Cotard Syndrome in an Adolescent With a First Episode of Psychosis. Journal of psychiatric practice. [Internet]. 2021 [cited 2023 Nov 29];27(3):224–227. Disponible en: https://doi.org/10.1097/PRA.0000000000000545
3. Ocampo H, Febres-Ramos RJ, Arestegui S, Bravo R, Cardenas D. Síndrome de Cotard en trastorno depresivo recurrente: Reporte de caso. Rev. Fac. Med. Hum. [Internet]. 2021 [cited 2023 Nov 29];21(4):859-864. Disponible en: https://doi.org/10.25176/rfmh.v21i4.3303
4. Sergio Vergara R, Díaz P. Síndrome De Cotard y Catatonía: Reporte De Un Caso. Rev. chil. neuro-psiquiatr. [Internet]. 2020 [cited 2023 Nov 29];58(1):66-73. Disponible en: https://doi.org/10.4067/S0717-92272020000100066
5. Huan WY, Wan Azlan WA, Lee YT. Cotard delusion in a depressed patient: "My throat is missing!". Asia-Pacific psychiatry: official journal of the Pacific Rim College of Psychiatrists. [Internet]. 2023 [cited 2023 Nov 29];15(1): e12524. Disponible en: https://doi.org/10.1111/appy.12524
6. Couto RAS, Moreira Gonçalves L. A medical algorithm for Cotard delusion based on more than 300 literature cases. International journal of psychiatry in clinical practice. [Internet]. 2021 [cited 2023 Nov 29];25(3):220–232. Disponible en: https://doi.org/10.1080/13651501.2020.1819335
7. de Jesús MR, Rojas JA, Mejía Sang M, Disla V, Nova S, González E. Delirio de Cotard: presentación de caso y revisión de literatura. Ciencia y Salud. [Internet]. 2021 [cited 2023 Nov 29];5(1):123-8. Disponible en: https://doi.org/10.22206/CYSA.2021.V5I1.PP123-128
8. Sahoo A, Josephs KA. A Neuropsychiatric Analysis of the Cotard Delusion. The Journal of neuropsychiatry and clinical neurosciences. [Internet]. 2018 [cited 2023 Nov 29];30(1):58–65. Disponible en: https://doi.org/10.1176/appi.neuropsych.17010018
9. Casas Lopez AC. Delirios de Cotard, descripción de dos casos. Delirio de negación en la melancolía frente a delirio de negación en la paranoia. Revista Colombiana de psiquiatría. [Internet]. 2022 [cited 2023 Nov 29];51(2):158-162. Disponible en: https://doi.org/10.1016/j.rcp.2020.10.012
10. Fabrazzo M, Giannelli L, Riolo S, Fuschillo A, Perris F, Catapano F. A hypothesis on Cotard's syndrome as an evolution of obsessive-compulsive disorder. International review of psychiatry (Abingdon, England). [Internet]. 2022 [cited 2023 Nov 29];33(1-2):23–28. Disponible en: https://doi.org/10.1080/09540261.2020.1810425
11. Subhas N, Naing KO, Su C. et al. Case report on Cotard’s syndrome (CS) in a patient with schizophrenia: a rare case from Malaysia. Egypt J Neurol Psychiatry Neurosurg. [Internet]. 2021 [cited 2023 Nov 29];57:107. disponible en: https://doi.org/10.1186/s41983-021-00359-4
12. Huarcaya-Victoria J, Herrera D, Meneses A. SPECT Cerebral en Pacientes con Síndrome de Cotard: a Propósito de dos Casos. Revista Colombiana de Psiquiatría. [Internet]. 2022 [cited 2023 Nov 29];. Disponible en: https://doi.org/10.1016/j.rcp.2022.06.004
13. Rivera-Encinas MT, Huarcaya-Victoria J, Aliaga-Tinoco S. Síndrome de Cotard y retraso mental: reporte de un caso. Rev. chil. neuro-psiquiatr. [Internet]. 2020 [cited 2023 Nov 29];58(4):425-430. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-92272020000400425&lng=es
14. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM- 5). Washington DC: APA; 2013.
15. Yamada K, Katsuragi S, Fujii I. A case study of Cotard's syndrome: stages and diagnosis. Acta Psychiatr Scand. 1999;100(5):396-9. Disponible en: https://doi.org/10.1111/j.1600-0447.1999.tb10884.x
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Published
2024-03-15
How to Cite
1.
Casado Mendez PR, Santos Fonseca RS, Lopes Cá ND. Cotard syndrome and intelectual desability. Rev. Hosp. Psiq. Habana. [Internet]. 2024 Mar. 15 [cited 2025 Aug. 2];21(1). Available from: https://revhph.sld.cu/index.php/hph/article/view/456
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Presentación de casos
