Journal of Geriatric Psychiatry and Neurology

 

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Journal of Geriatric Psychiatry and Neurology, Vol. 2, No. 3, 134-139 (1989)
DOI: 10.1177/089198878900200303

Monosymptomatic Delusions of Parasitosis Associated With Ischemic Cerebrovascular Disease

Frederick G. Flynn

Neurobehavior Unit, West Los Angeles Veterans Administration Medical Center, Department of Neurology, UCLA School of Medicine Los Angeles, CA, US Army AMEDD Student Detachment Academy of Health Sciences, Ft Sam Houston, TX

Jeffrey L. Cummings

Neurobehavior Unit, West Los Angeles Veterans Administration Medical Center, Psychiatry Service, West Los Angeles Veterans Administration Medical Center, Department of Neurology, UCLA School of Medicine Los Angeles, CA, Department of Psychiatry & Biobehavioral Sciences, UCLA School of Medicine Los Angeles, CA

Joan Scheibel

Psychiatry Service, West Los Angeles Veterans Administration Medical Center, Department of Psychiatry & Biobehavioral Sciences, UCLA School of Medicine Los Angeles, CA

William Wirshing

Psychiatry Service, West Los Angeles Veterans Administration Medical Center, Department of Psychiatry & Biobehavioral Sciences, UCLA School of Medicine Los Angeles, CA

Monosymptomatic delusions of infestation (parasitosis) occur in idiopathic psychoses but have rarely been observed in patients with neurologic or systemic illnesses. A patient was observed in whom the delusion occurred in the presence of demonstrable cerebrovascular disease. The delusional symptoms were contralateral to the principal site of ischemic injury. Delusions of infestation may reflect an acquired neurologic or metabolic disorder, and medical and neurologic evaluation should be pursued in elderly patients presenting with this syndrome. ( J Geriatr Psychiatry Neurol 1989;2:134-139).


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