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Reduplicative paramnesia: neuroanatomical perspective on a psychiatric phenomenon

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  • Sudden failure to recognise own house in a 76-year-old man was diagnosed as reduplicative paramnesia due to stroke of right anterior thalamic nuclei.
  • Reduplicative paramnesia is a delusional misidentification disorder frequently resulting from neurological disease and thus a neuropsychiatric phenomenon par excellence.
  • The case discusses clinical elements and neuroanatomical mechanisms that underlie reduplicative paramnesia, implicating right anterior thalamic dysfunction.
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Tijdschr Psychiatr. 2026;68(4):195-198.

ABSTRACT

We describe an extraordinary case of a 76-year-old man who suddenly did not recognize his house as his own. This clinical phenomenon, a ‘reduplicative paramnesia’, turned out to be the consequence of a stroke in the anterior nuclei of the right thalamus. Reduplicative paramnesia, a delusional misidentification disorder, is often the consequence of a neurological disease and therefore a neuropsychiatric phenomenon par excellence. Through this case we further discuss the clinical elements and neuroanatomical mechanisms that underlie this phenomenon.

PMID:42170711

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