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PubMed1977

[The anosognostic psychosyndrome. Studies and reflections on a case of acoustic agnosia].

We analyse structure and dynamics of anosognostic behavior by means of a case with auditory agnosia for both linguistic and non-linguistic material. First we investigate on the observational level the structural interweaving of conditions. Second we make an attempt of a structural dynamic analysis with inclusion of both neurophysiological and psychodynamic aspects within a frame which is orientated towards system theories. By doing this, the anosognostic syndrome which is describable in a phenomenalistic sense as a disturbance of body-scheme, neuropsychologically as a neglect-or extinction-syndrome and psychodynamically as regressive Ego dissolution, appears as disintegration of the transactional coherence between specific and non-specific functional systems. At the time also the relations to the structure of focal brain syndromes and organic psychoses are dealt with.

Agnosia↗

PubMed1996

[The relationship between visual agnosia and visual pathway for perception].

We report a patient with a unique visual agnosia, who was thought to have lost visual functions except for the primary visual function. The patient was a 71-year-old woman with progressive memory loss and cerebro-cortical atrophy in MRI; her clinical diagnosis was senile dementia of Alzheimer's type. A battery of tests to detect higher visual dysfunctions was performed. First of all, we presented small dots and lines in front of the patient; the patient was able to recognize them. When a triangle, a tetragon, a cube, pieces of paper of different colors and lines of different length were presented, she was unable to recognize those objects. When pictures of her family members or filled circles of different size including small dots and lines were presented, the patient could only detect those small dots and any of lines; she could not recognize the members of her family. The cerebral blood flow was severely reduced in the occipital lobe except for the striate cortex. These data suggested that the visual function of striate cortex was preserved in this patient; the disturbance of higher visual functions was thought to be caused by the dysfunction of extra striate cortex.

Aged↗

PubMed1996

[Hypoxic brain damage after carbon monoxide poisoning. Visual agnosia, reduced initiative and memory and delayed sequelae].

Four patients with hypoxic brain damage caused by carbon monoxide poisoning are described. Three of these had attempted suicide with car exhaust fumes. Two patients had visual agnosia due to lesions in the parieto-occipital cortex. Three patients had temporary Parkinsonian symptoms. In two of these patients CT and MRI showed lesions in the globus pallidus. They also showed reduced initiative, and in one patient this was combined with minor tics and obsessive symptoms. One patient had impaired memory as the only symptom. The patient with the longest lasting exposure developed delayed sequelae; three weeks after the poisoning he became apathetic and confused, with failing memory, Parkinsonian symptoms, and urinary and faecal incontinence. MRI showed demyelination in the periventricular white matter. His condition started to improve two months after the accident.

Adult↗

PubMed1998

[Case report. Therapeutic intervention using a "particular interest" of an autistic child with visual agnosia].

Although special education under its diverse forms is consensually recognized as the privileged area of pervasive developmental delay, there is little studies on re-education intervention for autistic persons of normal intelligence. This article presents a psychoeducative intervention with a three year old autistic boy in a pedopsychiatric day care centre. The interest of this observation is double. On the one hand, this child, aside from autism, is carrier of an exceptional ailment: visual agnosia. On the other hand, his "restrictive autistic interest", namely perceptive attraction and his questioning of a particular class of objects or a particular parameter of these objects were used as lever to bring him to improve his capacities of communication and social interactions.

Agnosia↗

PubMed2006

Primary progressive aphasia accompanied by environmental sound agnosia: a neuropsychological, MRI and PET study.

As part of the frontotemporal dementias, primary progressive aphasia (PPA) is typically characterized by nonfluent speech with paraphasias, but there is growing evidence that also a fluent variant of PPA exists. We describe a patient suffering from PPA who adds to the broad clinical spectrum of this disorder. Moreover, we report for the first time that PPA may be associated with severe impairment in meaningful nonverbal sound recognition (environmental sound agnosia). These neuropsychological findings were found to be associated with distinct focal alterations in functional and structural neuroimaging.

Aged↗

PubMed1981

On the mechanism underlying facial-affective agnosia in senile demented patients.

Two experiments were conducted in which senile demented patients were shown pictures of happy, sad, and angry faces, and tested for their ability to recognize these emotional expressions. Their affect recognition was obviously impaired, as they tended to respond to the line or feature characteristics of the faces, instead of the affective meaning that was suggested by the facial expressions. This impairment was somewhat overcome either by adding verbal cues which created an affective set, or by making feature detection irrelevant to the recognition process. It was shown that if the tendency to detect features is defeated, senile people can extract emotional meaning from facial stimuli. The data suggested that the mechanism underlying facial-affect agnosia is an impairment in the associative connections between the visual impression of facial expression and affective meaning.

Aged↗

PubMed1978

[Investigations on the incidence of partial agnosia of sounds (author's transl)].

Stammering as a frequent speech disorder in infancy results from many causes. For instance, it is possible that a child with normal peripheral hearing may be unable to distinguish sounds by tone and therefore will repeat them incorrectly. A testing method is presented in which paired pictures are used which differ by the phonologic opposition of some stammered sounds. The results of the test in 100 children who stammer are reported. Further investigations give evidence that other perceptual disorders can be found in supposed agnosias.

Articulation Disorders↗

PubMed1994

[Characteristic event-related potentials evoked by somatosensory tasks in a patient with right-left disorientation and finger agnosia].

Event-related brain potentials associated with both somatosensory and auditory detection tasks were recorded from the scalp in a 63-year-old man with finger agnosia and right-left disorientation resulted from cerebral infarction located around the region of the left angular gyrus. In a somatosensory oddball paradigm for discrimination between the right index finger (target, P = 0.2) and the left index finger (non-target, P = 0.8), early cognitive components P100, N140 and processing negativity were observed both in the target responses and non-target responses, however, no P300 component was recorded in both paradigms. In another paradigm to discriminate the index finger (target, P = 0.2) from small finger (non-target, P = 0.8) in the right hand, no P300 was evoked and only processing negativity was recorded both in the target responses and nontarget responses. These phenomena were obtained through characteristic behavior that the patient paid attention to the target stimuli as well as non-target stimuli and mentally counted them without discrimination. In contrast, in an auditory oddball paradigm P300 was clearly demonstrated to target stimuli that the patient correctly could count. The normal appearance of P300 in auditory detection tasks strongly suggests that the neural generator for the P300 was reserved intact. These results indicate that somatosensory information processing might be disturbed at the level of sensory discrimination needed for generation of P300 in our patient. It is also proposed that the neural events for somatosensory discrimination and auditory discrimination would take separate channels each other to reach the common generator of p300 in information processing.

Brain↗

PubMed1997

[Cerebral achromatopsia without prosopagnosia, alexia, object agnosia].

A 62-year-old woman was admitted for a disorder of color vision. This cerebral achromatopsia was isolated, without prosopagnosia, alexia, object agnosia. MRI showed bilateral temporo-occipital infarcts, including lingual and fusiform gyrus. Neuropsychological examination and topographic hypotheses are discussed.

Color Perception↗

PubMed1962