Allum Jenny, Whittaker Max, Green Huw
Department of Occupational Therapy, Addenbrooke's Hospital, Cambridge, UK.
Lancashire and South Cumbria NHS Foundation Trust, Preston, UK.
Neurocase. 2025 Feb;31(1):29-36. doi: 10.1080/13554794.2024.2439568. Epub 2024 Dec 10.
We report the case of DT, a man in his fifties who suffered a large right fronto-parietal hemorrhage, resulting in a dense left weakness and a persistent anosognosia for the resultant hemiplegia. DT engaged in several video-feedback sessions. Video feedback therapy has been successful in previously reported cases of anosognosia, resulting in immediate and lasting resolution. In the current case, similarly dramatic effects were observed, but with a subsequent recurrence of the anosognosic ideation. The present case sheds light on the interplay of neurologic and psychological mechanisms involved in anosognosia and on some of the pragmatic emotional considerations of engaging in this form of rehabilitative therapy.
我们报告了DT的病例，他是一名五十多岁的男性，右侧额顶叶大量出血，导致严重的左侧肢体无力以及对由此产生的偏瘫持续存在的病觉缺失。DT参与了几次视频反馈治疗。视频反馈疗法在先前报道的病觉缺失病例中取得了成功，实现了即刻且持久的症状缓解。在当前病例中，也观察到了类似显著的效果，但随后病觉缺失观念再次出现。本病例揭示了病觉缺失所涉及的神经和心理机制之间的相互作用，以及在进行这种康复治疗时一些实际的情感考量。
