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Journal of Geriatric Psychiatry and Neurology
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Othello Syndrome Secondary to Right Cerebrovascular Infarction

Emily D. Richardson, PhD

Department of Psychiatry, Brown University Medical School, Butler Hospital, Providence

Paul F. Malloy, PhD

Department of Psychiatry, Brown University Medical School, Butler Hospital, Providence

Janet Grace, PhD

Department of Psychiatry, Brown University Medical School, Memorial Hospital of Rhode Island, Pawtucket, RI

The Othello syndrome, or delusional jealousy, occurs in idiopathic psychoses and in neurodegenerative diseases, but has rarely been described in patients with cerebrovascular infarction. A patient was observed to exhibit the delusion shortly after cerebral ischemic injury in the absence of other psychiatric symptoms. The underlying pathology was consistent with recent reports on content-specific delusions, implicating right hemisphere and frontal lobe involvement in the mis interpretation and misidentification of complex information. Psychological factors were hypothesized to shape the content of the delusional misinterpretations. (J Geriatr Psychiatry Neurol 1991;4:160-165).

Journal of Geriatric Psychiatry and Neurology, Vol. 4, No. 3, 160-165 (1991)
DOI: 10.1177/089198879100400307
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