Vighetto A, Aimard G, Confavreux C, Devic M
Cortex. 1980 Oct;16(3):501-7. doi: 10.1016/s0010-9452(80)80052-9.
The authors report an observation of a fixed monothematic and long-termed topographical confabulation associated to a topographical disorientation, without mental confusion. Different factors leading to such a confabulation are discussed (alteration of topographical memory, anosognosia of the ambulatory defect, age of the patient). The favourable effect of neuroleptics permit to regard the continuity between confabulation and delirium. Anatomical data prove an isolated right parieto-temporal infarct.
作者报告了一例与地形定向障碍相关的固定的单主题且长期存在的地形性虚构症观察病例,患者无精神错乱。文中讨论了导致这种虚构症的不同因素(地形记忆改变、对行走缺陷的疾病感缺失、患者年龄)。抗精神病药物的良好效果使人们能够考虑虚构症与谵妄之间的连续性。解剖学数据证实为孤立的右侧顶颞叶梗死。