Persistence of Grandiose Delusional Content in Schizophrenia with Superimposed Vascular Dementia: A Case Report of Diagnostic and Therapeutic Impasse
Background. Patients with schizophrenia are surviving into old age in growing numbers and are at substantially elevated risk of dementia. When the two conditions coexist, clinicians face contradictory guidance: antipsychotics remain first-line for schizophrenia while carrying a mortality warning in dementia. Evidence t...