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Letters   |    
A Case of Cotard Syndrome in a Woman With a Right Subdural Hemorrhage
David L. Perez, M.D.; Benjamin H. Fuchs, B.A.; Jane Epstein, M.D.
The Journal of Neuropsychiatry and Clinical Neurosciences 2014;26:E29-E30. doi:10.1176/appi.neuropsych.13020021
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Functional Neuroimaging Laboratory, Brigham and Women’s Hospital, Boston, MA (DLP, BHF, JE)
Dept. of Psychiatry, Brigham and Women’s Hospital, Boston, MA (DLP, JE)
Dept. of Psychiatry, Beth Israel Deaconess Medical Center, Boston, MA (DLP)
Dept. of Neurology, Brigham and Women’s Hospital, Boston, MA (DLP)

Correspondence: Dr. Perez; e-mail: david.lperez@gmail.com

Copyright © 2014 by the American Psychiatric Association

Extract

To the Editor: Délire des négations (nihilistic syndrome) was first described in 1880 by Jules Cotard in a woman with a psychotic depression.1 Cotard syndrome is a rare neuropsychiatric condition involving the delusional belief that one has died or is dying, and it includes nihilistic thoughts of specific body parts or self-related themes. We present a case of Cotard syndrome after a spontaneous right frontoparietal subdural hemorrhage.

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References

Cotard  J:  Du délire hypocondriaque dans une forme grave de la melancolie anxieuse.  Ann Med Psychol (Paris) 1880; 4:168–174
 
Ramirez-Bermudez  J;  Aguilar-Venegas  LC;  Crail-Melendez  D  et al:  Cotard syndrome in neurological and psychiatric patients.  J Neuropsychiatry Clin Neurosci 2010; 22:409–416
[CrossRef] | [PubMed]
 
Kudler  SNCGS;  Jaimon  M:  An overview of the neurological correlates of Cotard syndrome.  Eur J Psychiatry 2007; 21:99–116
 
Young  AW;  Robertson  IH;  Hellawell  DJ  et al:  Cotard delusion after brain injury.  Psychol Med 1992; 22:799–804
[CrossRef] | [PubMed]
 
Devinsky  O:  Right cerebral hemisphere dominance for a sense of corporeal and emotional self.  Epilepsy Behav 2000; 1:60–73
[CrossRef]
 
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