Capgras Syndrome After Use of Synthetic Cannabinoid: an Adolescent Case

2016-07-25T17-20-02Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Ürün Özer, Veysi Çeri, Cüneyt Evren.
Aim Anxiety, agitation, irritability, confusion, hallucinations and delusions are among common psychotropic effects of synthetic cannabinoids, which referred as Bonzai and Jamaika in Turkey. Cases of psychotic disorder induced by synthetic cannabinoid use are becoming increasingly more reported. Capgras syndrome is a psychotic disorder characterized by a delusion that a specific person or object has been replaced by an identical one. It has been reported to occur rarely in pure form, but generally accompanying schizophrenia or organic psychosis. Herein we aim to report an adolescent case presenting with Capgras syndrome developed after use of synthetic cannabinoids and to draw attention to psychotic symptoms and to this uncommon psychotic syndrome which may occur after synthetic cannabinoid use. Case Seventeen years old male was brought to the emergency room by his family. In psychiatric examination auditory hallucinations, persecutory delusions and Capgras syndrome, defined with delusion that his mother and father have been changed and replaced by others, have been detected. He reported using bonzai for about 10 days via inhalation and trying volatile substances few times in the past. He had complaints for 4 days and no psychiatric admission before. Rutine laboratory and neuroimaging tests were unremarkable. Urinanalysis was negative for psychoactive substance metabolytes. Psychotic symptoms improved with Olanzapine 10 mg/day and did not recur in the follow-up period of 3 months with no use of bonzai. Conclusion In adolescents who admit with psychotic symptoms, synthetic cannabinoid use should be considered and detailed history should be taken, even laboratory tests were negative. Adolescents, as a vulnerable population, should be informed about negative effects of synthetic cannabinoids which are easily accessible and marketed as herbal, natural and legal, as well as their parents and institutions such as schools which may guide them. Thus, it might be possible to prevent psychotic disorders which will be induced by this substances.


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