Mano Tomoo, Kirimura Sakura, Uchihara Yuto, Takashima Hideki, Masuda Takashi
Department of Rehabilitation, Nara Prefectural General Medical Center, Nara, Japan.
Department of Neurology, Nara Prefectural General Medical Center, Nara, Japan.
Case Rep Neurol. 2024 Apr 17;16(1):107-114. doi: 10.1159/000538915. eCollection 2024 Jan-Dec.
Disturbances in the visual pathway cause visual cognitive impairment. There is a lack of information regarding the effect of rehabilitation on individuals affected by this condition. Therefore, it is crucial to understand the effectiveness of rehabilitation interventions in this condition.
We present the case of an 87-year-old woman with hippocampal infarction. While the patient's ability to perform daily activities and engage in conversations was normal, she faced challenges at the execution stage, such as naming, constructing sentences, and copying. We diagnosed cerebral embolism because of atrial fibrillation and initiated direct oral anticoagulant therapy. Subsequently, we initiated a rehabilitation treatment comprising visual agnosia training (attribute learning training), verbalization learning training (writing training), and semantic memory training (copying training) to address visual agnosia.
Associative visual perception challenges arising from hippocampal infarcts are rare and can be improved with early intervention through a rehabilitation program for visual agnosia.
视觉通路紊乱会导致视觉认知障碍。目前缺乏关于康复对受这种情况影响的个体的作用的信息。因此，了解康复干预在这种情况下的有效性至关重要。
我们介绍了一名87岁海马梗死女性的病例。虽然患者进行日常活动和对话的能力正常，但她在执行阶段面临挑战，如命名、造句和抄写。由于房颤，我们诊断为脑栓塞并开始直接口服抗凝治疗。随后，我们启动了一项康复治疗，包括视觉失认训练（属性学习训练）、言语化学习训练（书写训练）和语义记忆训练（抄写训练），以解决视觉失认问题。
海马梗死引起的关联性视觉感知挑战很少见，通过针对视觉失认的康复计划进行早期干预可以改善这种情况。
