Capgras Delusions Involving Belongings,Not People, and Evolving Visual Hallucinations Associated withOccipital Lobe Seizures

Capgras syndrome is characterized by the delusional belief that afamiliar person has been replaced by a visually similar imposteror replica.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