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Delayed reduplicative paramnesia

Department of Neurology, University of Colorado Health Sciences Center, and Fort Logan Mental Health Center, Denver, CO.

A 25-year-old man with a remote history of closed head injury and left hemiparesis developed the false belief that his hospital was located in another city, close to his home. This delusion appeared more than 3 years after his injury, from which he had made a good recovery. No previous delusional or other psychotic thinking had occurred. Clinical and neuropsychological data supported the existence of right hemisphere and bifrontal pathology. This case illustrates that a specific delusional belief may arise in a patient with appropriate cerebral pathology years after the initial event.

Address correspondence and reprint requests to Dr. Filley, UCHSC B-183, 4200 East Ninth Avenue, Denver, CO 80262.

Received May 5, 1986. Accepted for publication in final form August 5, 1986.

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