De Luca Rosaria, Sciarrone Francesca, Manuli Alfredo, Torrisi Michele, Porcari Bruno, Casella Carmela, Bramanti Alessia, Calabrò Rocco Salvatore
Robotic and Behavioral Laboratory - IRCCS Centro Neurolesi "Bonino-Pulejo".
Stroke Unit, University of Messina, Italy.
Medicine (Baltimore). 2020 Sep 18;99(38):e22313. doi: 10.1097/MD.0000000000022313.
About 66% of stroke survivors present with cognitive or physical consequences, which are often complicated by emotional instability. Alexithymia is defined as "a difficulty in identifying and describing feelings", although there is no consensus on the exact diagnosis and treatment.
A 36-year-old right-handed man, affected by ischemic stroke (which occurred about 3 months before admission) involving the right hemisphere (ie, the fronto-parieto-temporal region) with left hemiparesis and behavioral abnormalities, came to our observation for intensive rehabilitation. He was treated unsuccessfully with a traditional and behavioral training.
Alexithymia due to ischemic stroke.
Then, a specific combined protocol using computerized emotional and virtual emotional training was applied in a semi-immersive virtual reality environment using the BTS-Nirvana device.
At the end of this novel rehabilitation approach, the patient showed a significant improvement in emotional skills, cognitive performances, and coping strategies.
Virtual reality, in addition to standard therapy, may be a valuable tool in improving emotional abnormalities due to brain lesions, such as alexithymia.
约66%的中风幸存者存在认知或身体方面的后果，且常伴有情绪不稳定。述情障碍被定义为“难以识别和描述情感”，尽管在确切的诊断和治疗方面尚未达成共识。
一名36岁右利手男性，因缺血性中风（入院前约3个月发生）累及右半球（即额颞顶叶区域），伴有左侧偏瘫和行为异常，前来我院接受强化康复治疗。他接受了传统和行为训练，但效果不佳。
缺血性中风所致述情障碍。
随后，使用BTS-Nirvana设备，在半沉浸式虚拟现实环境中应用了一种特定的综合方案，包括计算机化情感训练和虚拟情感训练。
在这种新颖的康复方法结束时，患者在情感技能、认知表现和应对策略方面均有显著改善。
除标准治疗外，虚拟现实可能是改善因脑损伤导致的情感异常（如述情障碍）的一种有价值的工具。
