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86 Hyperfamiliarity for Unknown Faces in a Patient with Lewy Body Dementia

Published online by Cambridge University Press:  12 March 2019

Aghaegbulam Uga  and
Terngu Ibilah
Aghaegbulam Uga
Affiliation:
Associate Professor and Program Director, Psychiatry and Internal Medicine Combined Program, Texas Tech University Health Science Center, El Paso, TX
Terngu Ibilah
Affiliation:
PGY 2 Resident, Psychiatry and Internal Medicine Combined Program, Texas Tech University Health Science Center, El Paso, TX
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Abstract

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Title

“I know everybody here”

Hyperfamiliarity for unknown faces, a delusion of misidentification, is a rare disorder.

We present a 67-year-old female admitted with worsening cognitive impairment and poor self-care associated with parkinsonian symptoms of one-year duration. During evaluation, she was noted to relate to strangers with familiar gestures like people she already knew causing distress for family and care givers.

Workup revealed significant cognitive impairment, MOCA of 9/30 and neuroimaging showing diffuse temporal lobe volume loss predominantly on the left.

Assessment was Lewy body dementia with hyperfamiliarity for unknown faces.

This rare presentation reflects the need for detailed examination and workup during evaluation.

Type
Abstracts
Information
CNS Spectrums , Volume 24 , Issue 1 , February 2019 , pp. 218
Copyright
© Cambridge University Press 2019