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Case Reports in Psychiatry
Volume 2018, Article ID 1459869, 5 pages
Case Report

“Capgras” Delusions Involving Belongings, Not People, and Evolving Visual Hallucinations Associated with Occipital Lobe Seizures

Department of Psychiatry & Behavioral Medicine, Marshall University, Huntington, WV, USA

Correspondence should be addressed to Brandon Lilly; ude.llahsram.evil@301yllil

Received 9 October 2017; Revised 18 January 2018; Accepted 6 February 2018; Published 7 March 2018

Academic Editor: Lut Tamam

Copyright © 2018 Brandon Lilly et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Capgras syndrome is characterized by the delusional belief that a familiar person has been replaced by a visually similar imposter or replica. Rarely, the delusional focus may be objects rather than people. Numerous etiologies have been described for Capgras to include seizures. Similarly, visual hallucinations, both simple and complex, can occur secondary to seizure activity. We present, to our knowledge, the first reported case of visual hallucinations and Capgras delusions for objects that developed secondary to new onset occipital lobe epilepsy. We then discuss the possible underlying neurologic mechanisms responsible for the symptomatology.