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1 Key Words reduplicative paramnesia geographical mislocation double orientation identity right frontal lobe reduplicative paramnesia Pick Ruff 1981 Staton 1982 Patterson Alexander 1979 Moser Kapur 1988 Trillet 1988 Budson 2000 Feinberg 1989 Murai 1997 Pick Paterson FK
2 CT 148/94 74/ cm 53kg Japan Coma Scale 1 Glasgow Coma Scale E4 M6 V4 Babinski Gegenhalten 10 FK FK FK FK FK
3 FK E FK P E P E P 99 E P E P E? P E P E P 100 E P E P E P E P E P E 1 1 P FK FK FK FK FK 1
4
5 WAIS R PIQ Rey Osterrieth Complex Figure Test ROCFT 1 2mm Rey Auditory Verbal Learning Test RAVLT ROCFT Wisconsin Card Sorting Test WCST 2 6 WAIS R PIQ BIT WMS R RAVLT WCST Word Fluency Design Fluency Modified Stroop Test Trail Making Test BADS self monitoring 45 MRI T2 Brodmann cm 99m Tc HMPAO SPECT RI 1 7 FK
6 Kapur FK FK 2 3 FK 4 FK FK
7 Paterson 1944 Paterson Paterson double orientation 2 spatial displacement Paterson Pick SPECT Brodmann area10 Burgess PW 2007 Brodmann area10 A gateway between mental life and the external world Brodmann area self awareness Cutting 1991 delusional misidentification syndromes identity self awareness Stuss 2001 self awareness 1 Alexander, M. P., Stuss, D. T. & Benson, D. F. Capgras syndrome A reduplicative phenomenon. Neurology, , Budson, A. E., Roth, H. L., Rentz, D. M., et al. Disruption of the ventral visual stream in a case of reduplicative paramnesia. Ann. N. Y. Acad. Sci., , Burgess, P. W., Gilbert, S. J. & Dumontheil, I. A gateway between mental life and the external
8 world Role of the rostral prefrontal cortex area , Cutting, J. Delusional misidentification and the role of the right hemisphere in the appreciation of identity. Br. J. Psychiatry, 159 suppl , Ellis, H. D. & Young, A. W. Accounting for delusional misidentifications. Br. J. Psychiatry, , Feinberg, T. E. & Shapiro, R. M. Misidentification reduplication and the right hemisphere. Neuropsychiatry Neuropsychol. Behav. Neurol., , Hakim, H., Verma, N. P. & Greiffenstein, M. F. Pathogenesis of reduplicative paramnesia. Journal of Neurology, Neurosurgery, and Psychiatry, , , pp , pp , Kapur, N., Turner, A. & King, C. Reduplicative paramnesia possible anatomical and neuropsychological mechanisms. J. Neurol., Neurosurg. Psychiatry, , Morin, A. Right hemispheric self awareness A critical assessment. Consciousness and Cognition, , Moser, D. J., Cohen, R. A., Malloy, P. F., et al. Reduplicative paramnesia Longitudial neurobehavioral and neuroimaging Analysis. J. Geriatr. Psychiatry Neurol., , Murai, T., Toichi, M., Sengoku, A., et al. Reduplicative paramnesia in patients with focal brain 28 4 damage. Neuropsychiatry Neuropsychol. Behavi. Neurol., , , Paterson, A. & Zangwill, O. L. Recovery of spatial orientation in the post traumatic confusional state. Brain, , Patterson, M. B. & Mack, J. L. Neuropsychological analysis of a case of reduplicative paramnesia. J. Clin. Exp. Neuropsychol., , Pick, A. Über eine neuartige Form Von Paramnesie. Jahrbücher für Psychiatrie und Neurologie, , Pick, A. Clinical studies.. On reduplicative paramnesia. Brain, , Ruff, R. L. & Volpe, B. T. Environmental reduplication assosiciated with right frontal and parietal lobe injury. J. Neurol., Neurosurg. Psychiatry, , Staton, R. D., Brumback, R. A. & Wilson, H. Reduplicative paramnesia A disconnection syndrome of memory. Cortex, , Stuss, D. T., Picton, T. W. & Alexander, M. P. Consciousness, self awareness, and the frontal lobe. In The frontal lobes and neuropsychiatric illness ed. Salloway, S. P., Malloy, P. F. & Duffy, J. D.. American Psychiatric Publishing, Washington, 2001, pp , pp Trillet, M. C. & Laurent, B. Mémoire et Amnésies. Masson, Paris, , 1993.
9 Abstract From geographical mislocation and double disorientation to reduplicative paramnesia a neuropsychological study of a case with right frontal lobe hemorrhage Michitaka Funayama Motoichiro Kato Masaru Mimura In this study, we report a case FK with typical reduplicative paramnesia which developed after a circumscribed right frontal lobe hemorrhage. In this case, we were able to follow the clinical and neuropsychological courses of the development of reduplicative paramnesia in detail. The patient showed geographical mislocation of place and double orientation before the appearance of geographical reduplicative paramnesia in which he believed that more than two identical hospitals exist in the world. Given the clinical course of this case, it is possible that his reduplicative paramnesia did not result from visuospatial disorder and frontal executive dysfunction, but rather developed from deficits of self orientation to the outside world or environments. Dysfunction of the right dorsolateral prefrontal lobe could be considered to play a critical role as the lesion responsible for reduplicative paramnesia.
우측전두정엽뇌경색환자에서발생한재생가능성기억착오증 증례보고
Brain & NeuroRehabilitation Vol. 6, No. 1, March, 2013 http://dx.doi.org/10.12786/bn.2013.6.1.41 우측전두정엽뇌경색환자에서발생한재생가능성기억착오증 증례보고 고려대학교안암병원재활의학과 최태웅ㆍ편성범 Reduplicative Paramnesia after Right Frontoparietal
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