Abstract

Dorian Gray Delusion: Mirror Hallucination of Senescence

Author(s): Shweta Kalita1, Nikita Mehdiratta2*, Alan Hirsch2

Introduction: The phenomenon of seeing a reflection of oneself while not looking at a reflective surface, yclept, autoscopic hallucinations, have been reported in those with a lesion in the nondominant parieto-occipital lobe. The Mirror Sign is an inability to recognize one's image in the mirror while retaining the ability to recognize others' images. Obligate autoscopic mirror hallucinations of senescence have not heretofore been described.

Case Report:  A 37-year-old female with schizoaffective disorder presented with presence hallucinations and the perception that others were near her, even though she could not see or hear them. She described that when she gazes at herself in the mirror, she would not see her current face but rather the visage of an "old person," which recurs whenever she directly looks at herself in the mirror and avoids glancing at any mirrors because she was fearful of looking at her transformed senescent countenance. She realized it was not another person but herself in the future, having become her geriatric self.

Results: Abnormalities in Mental Status Examination: awake with poor hygiene and eye contact. Hyperverbal, grandiose with expansive effect, poor insight, and judgment. Recall 3 out of 4 objects in 3 minutes and all 4 with reinforcement.

Discussion: Abnormalities in Mental Status Examination: awake with poor hygiene and eye contact. Hyperverbal, grandiose with expansive effect, poor insight, and judgment. Recall 3 out of 4 objects in 3 minutes and all 4 with reinforcement.

Keywords: Autoprospometamorphopsia • Hallucination • Schizoaffective disorder • Dorian Gray Delusion

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