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Abstract Details

No Need for Netflix; TV Rerun Syndrome: The Result of Concurrent Déjà vécu And Hyperfamiliarity for Faces
General Neurology
P13 - Poster Session 13 (5:30 PM-6:30 PM)
6-011

 To understand why new television shows may appear to be reruns in those with Hyperfamiliarity for Faces (HFF) and Déjà vécu.


 In those with HFF or the sense of familiarity of faces of those who are actually unknown to the patient and Déjà vécu, where experiences have already been lived through, the perception that all television shows are reruns has not been described.


This 86 year-old right-handed male paint factory worker, with exposure to myriad solvents, presented with impaired memory, decrease in concentration and Déjà vécu. For six months prior to presentation, he believed that every person he saw, was someone he knew, although he was unable to delineate how he knew them. Coincidentally he observed that all new TV shows were reruns that were broadcasted in the past with identical plots, scenes, settings and actors. Nine months after onset, he reported sudden spontaneous resolution of Déjà vécu, hyperfamiliarity for strangers and the feeling that TV shows were reruns. This has not recurred in the six months of treatment since then.


Neurological Examination: Mental status examination: Recent recall: 0 out of 4 objects in three minutes without reinforcement. Motor Examination: Drift test: Right pronator drift with R abductor digiti minimi sign. Gait Examination: Tandem gait unstable. Sensory Examination: Romberg: positive. Vibration absent in all 4 extremities. Reflexes: Absent throughout. Bilateral Positive Hoffman's reflexes. Bilateral grasp reflexes: present. MRI with and without infusion: Leukoaraiosis, encephalomalacia and gliosis of the right frontal lobe, mild global atrophy, atrophy within the  body of the corpus callosum . Electroencephalogram: Slow wave activity in the left frontotemporal region.


Corpus callosal lesions may have lead to disconnection underlying both Déjà vécu and HFF. Presence of perception of TV reruns should be queried in those who present with HFF, Déjà vécu or misidentification syndromes. 


Authors/Disclosures

PRESENTER
No disclosure on file
Alan R. Hirsch, MD, FACP (Illinois Center for Neurologial and Behavioral Medicine, Ltd.) Dr. Hirsch has nothing to disclose.
Nehal Jain No disclosure on file
No disclosure on file