383 33 1 1 28 4 383 391 2008 Key Words reduplicative paramnesia geographical mislocation double orientation identity right frontal lobe reduplicative paramnesia Pick 1901 1903 2 Ruff 1981 Staton 1982 Patterson 1985 1989 Alexander 1979 Moser 1998 1993 Kapur 1988 Trillet 1988 Budson 2000 Feinberg 1989 Murai 1997 Pick 1901 1903 Paterson 1944 1 FK. 67 4 30 10 2002 11 23 67
34 384 28 4 11 26 CT 148/94 74/ 36.8 170cm 53kg Japan Coma Scale 1 Glasgow Coma Scale E4 M6 V4 Babinski Gegenhalten 10 FK FK 2 4 23 3 4 10 2 6 FK 10 13 8 FK 17 18 4 22 23 25 32 8 FK
385 35 33 34 8 34 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 2 7 7 FK 1
36 386 28 4 1 2 1 1.5 28 42 6 2 1 1 1.5
387 37 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 9 46 4cm 99m Tc HMPAO SPECT RI 1 7 FK
38 388 28 4 Kapur 1988 1 2 FK FK 2 3 FK 4 FK FK
389 39 Paterson 1944 Paterson Paterson double orientation 2 spatial displacement 12 3 4 Paterson Pick 1903 1989 2 SPECT Brodmann area10 Burgess PW 2007 Brodmann area10 A gateway between mental life and the external world Brodmann area10 2 2 2 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, 29 334 339, 1979. 2 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., 911 447 452, 2000. 3 Burgess, P. W., Gilbert, S. J. & Dumontheil, I. A gateway between mental life and the external
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391 41 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.