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两例伴有物体使用障碍的功能性局灶性逆行性遗忘症

Two cases of functional focal retrograde amnesia with impairment of object use.

作者信息

Nakamura Hikaru, Kunori Yoko, Mori Kayoko, Nakaaki Shutaro, Yoshida Shinichi, Hamanaka Toshihiko

机构信息

Department of Welfare System and Health Science, Okayama Prefectural University, Soja, Japan.

出版信息

Cortex. 2002 Sep;38(4):613-22. doi: 10.1016/s0010-9452(08)70025-x.

Abstract

We report on two patients, TH and KN, with focal retrograde amnesia (FRA). Their memory loss regarding life events extended to their whole lives, whereas they could acquire and retain new information. They also showed prominent deficits in production and comprehension of common words. In addition, at least in the testing situation, they were impaired in their recognition and use of familiar objects. Although both cases of FRA followed an episode that can cause brain pathology, MRI revealed no structural abnormality in either patient. Stressful situations preceding the onset were evident in KN, but not in TH. We discuss their impairments of object knowledge from a neuropsychological perspective, and we interpret the etiology of their condition as a functional rather than a psychogenic amnesia.

摘要

我们报告了两名患有局灶性逆行性遗忘症(FRA)的患者,TH和KN。他们对生活事件的记忆丧失贯穿了他们的一生,然而他们能够获取并保留新信息。他们在常用词的产出和理解方面也表现出显著缺陷。此外,至少在测试情境中,他们在识别和使用熟悉物体方面存在障碍。尽管这两例FRA均发生在可能导致脑部病变的事件之后,但磁共振成像(MRI)显示两名患者均无结构异常。KN在发病前存在明显的压力情境,而TH则没有。我们从神经心理学角度讨论了他们的物体知识障碍,并将他们病情的病因解释为功能性而非心因性遗忘症。

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