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But they are not crazy, said Dr. Kimford Meador, a professor of neurology and neurological sciences at Stanford University in Palo Alto, Calif. Instead, the delusions typically follow a stroke or similar brain injury , said Meador, who was not involved with the study but reviewed its contents. Such cases are often labeled as delusional misidentification syndrome. This rare group of disorders leaves patients convinced people and places are not what they seem. Someone with Capgras syndrome, for instance, may recognize a loved one but feel like something is amiss. The brain then concludes that this look-alike is an imposter, according to the authors of the new study. Another disorder, called Fregoli delusion, causes the opposite problem. The patient is convinced that strangers are really loved ones in disguise. The delusions may also extend to places. Patients may, for example, insist that their home is not their real home. No one is sure exactly why the delusions are so strange and specific.
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