Retrograde and semantic amnesia in a case of post-treatment Lyme disease syndrome: did something lead to a psychogenic memory loss? A single-case study.

IF 0.6 4区 医学 Q4 CLINICAL NEUROLOGY Neurocase Pub Date : 2024-08-01 Epub Date: 2024-07-04 DOI:10.1080/13554794.2024.2371906
Alessandra Redolfi, Vera Rota, Clara Tirloni, Riccardo Buraschi, Chiara Arienti, Maurizio Vincenzo Falso
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Abstract

Objective: To describe a case of Post-Treatment Lyme Disease Syndrome (PTLDS) with an atypical cognitive profile.

Method: A 41-year-old PTLDS patient underwent comprehensive neuropsychological testing and psychological assessment.

Results: The patient exhibited impaired intensive attention but preserved selective attention. Executive functions were normal. Short-term and anterograde memory were intact, while retrograde and semantic memory were significantly impaired. The patient also experienced identity loss, specific phobias, dissociative symptoms, and depressed mood.

Conclusions: Severe episodic-autobiographical and retrograde semantic amnesia was consistent with some reports of dissociative amnesia. Loss of identity and phobias were also highly suggestive of a psychogenic mechanism underlying amnesia.

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一例治疗后莱姆病综合征患者的逆行性和语义性失忆:是否有什么导致了精神性失忆?单例研究。
目的:描述一例治疗后莱姆病综合征(PTLDS)患者的非典型认知特征:描述一例具有非典型认知特征的治疗后莱姆病综合征(PTLDS)病例:一名 41 岁的 PTLDS 患者接受了全面的神经心理学测试和心理评估:结果:该患者的集中注意力受损,但选择性注意力得以保留。执行功能正常。短期记忆和前向记忆完好,而逆行记忆和语义记忆明显受损。患者还伴有身份缺失、特定恐惧症、分离症状和情绪低落:结论:严重的外显自传性和逆行语义健忘症与一些关于分离性健忘症的报道一致。身份的丧失和恐惧症也高度提示了遗忘症的心理机制。
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来源期刊
Neurocase
Neurocase 医学-精神病学
CiteScore
1.40
自引率
12.50%
发文量
70
审稿时长
6-12 weeks
期刊介绍: Neurocase is a rapid response journal of case studies and innovative group studies in neuropsychology, neuropsychiatry and behavioral neurology that speak to the neural basis of cognition. Four types of manuscript are considered for publication: single case investigations that bear directly on issues of relevance to theoretical issues or brain-behavior relationships; group studies of subjects with brain dysfunction that address issues relevant to the understanding of human cognition; reviews of important topics in the domains of neuropsychology, neuropsychiatry and behavioral neurology; and brief reports (up to 2500 words) that replicate previous reports dealing with issues of considerable significance. Of particular interest are investigations that include precise anatomical localization of lesions or neural activity via imaging or other techniques, as well as studies of patients with neurodegenerative diseases, since these diseases are becoming more common as our population ages. Topic reviews are included in most issues.
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