Lo Buono Viviana, De Salvo Simona, Paladina Giuseppe, Corallo Francesco, Palmeri Rosanna, Morabito Rosa, Bramanti Alessia, Marino Silvia, Sessa Edoardo
IRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.
Departmentof Biomedical and Dental Sciences and Morphological and Functional Imaging, University of Messina, Messina, Italy.
Appl Neuropsychol Adult. 2020 May-Jun;27(3):294-298. doi: 10.1080/23279095.2018.1538048. Epub 2019 Jan 20.
We describe an unusual case of a 68-year-old male affected by cerebral amyloid angiopathy and cortical blindness associated with Anton's syndrome. In addition, our patient presented with autotopagnosia, a form of agnosia characterized by loss of body spatial representation. Neuropsychological assessment evidenced cognitive impairment. Magnetic Resonance Imaging showed hemorrhagic foci in the left occipital and right occipito-parietal lobe, paratrigonal white matter, and post-ischemic parenchymal gliosis. The pattern-reversal of visual evoked potentials were indicative bilateral visual pathway of integrity of the. After a neurological damage, patients could show a denial of their own deficit; however, the association between anosognosia and autotopagnosia represents a rare neurological condition. The simultaneous onset of unusual neuropsychological syndromes could be related to involvement of a complex brain network.
我们描述了一例不同寻常的病例,一名68岁男性患有脑淀粉样血管病及与安通综合征相关的皮质盲。此外,我们的患者还出现了自体部位失认症,这是一种以身体空间表征丧失为特征的失认症形式。神经心理学评估证实存在认知障碍。磁共振成像显示左枕叶、右枕顶叶、三角旁白质和缺血后实质胶质增生有出血灶。视觉诱发电位的图形翻转表明双侧视觉通路完整。神经损伤后,患者可能会否认自己的缺陷;然而,疾病感缺失与自体部位失认症之间的关联代表了一种罕见的神经病症。不寻常的神经心理学综合征同时出现可能与复杂脑网络的受累有关。