Selective impairment in the retrieval of family relationships in person identification: A case study of delusional misidentification

被引:13
作者
Abe, Nobuhito [1 ]
Ishii, Hiroshi [1 ]
Fujii, Toshikatsu [1 ]
Ueno, Aya [1 ]
Lee, Eunjoo [1 ]
Ishioka, Toshiyuki [1 ]
Mori, Etsuro [1 ]
机构
[1] Tohoku Univ, Grad Sch Med, Dept Behav Neurol & Cognit Neurosci, Aoba Ku, Sendai, Miyagi 9808575, Japan
基金
日本学术振兴会;
关键词
Alzheimer's disease; idiopathic normal pressure hydrocephalus; person identification; delusional misidentification;
D O I
10.1016/j.neuropsychologia.2007.06.003
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
We describe a 74-year-old, right-handed woman who exhibited a peculiar form of delusional misidentification due to Alzheimer's disease (AD) combined with idiopathic normal pressure hydrocephalus (iNPH). The patient's most distinctive symptom was that she often misidentified her daughters as her sisters. She had severe atrophy of the bilateral medial temporal lobe and right-hemisphere-dominant hypoperfusion in the fronto-temporo-parietal cortices. Detailed tests revealed that she had a selective deficit in retrieving the family relationships between herself and her daughters/husband (i.e., she misidentified her daughters as her sisters and her husband as her father), despite being able to retrieve the names and faces of her family members, and some person-specific semantic information (e.g., occupation) related to them. We speculate that this specific type of misidentification can be elicited by failure to update semantic memory through the encoding of new episodic memory due to right-hemisphere-dominant fronto-temporal dysfunction. (C) 2007 Elsevier Ltd. All rights reserved.
引用
收藏
页码:2902 / 2909
页数:8
相关论文
共 26 条
[1]  
ABE M, 2004, TO SHINKEI, V56, P567
[2]   Intermetamorphosis in a patient with Alzheimer's disease [J].
Assal, F ;
Mendez, MF .
JOURNAL OF NEUROPSYCHIATRY AND CLINICAL NEUROSCIENCES, 2003, 15 (02) :246-247
[3]  
Edelstyn NMJ, 1999, INT J GERIATR PSYCH, V14, P48, DOI 10.1002/(SICI)1099-1166(199901)14:1<48::AID-GPS891>3.0.CO
[4]  
2-0
[5]   ACCOUNTING FOR DELUSIONAL MISIDENTIFICATIONS [J].
ELLIS, HD ;
YOUNG, AW .
BRITISH JOURNAL OF PSYCHIATRY, 1990, 157 :239-248
[6]   Capgras delusion: a window on face recognition [J].
Ellis, HD ;
Lewis, MB .
TRENDS IN COGNITIVE SCIENCES, 2001, 5 (04) :149-156
[7]   Frontal lobes and human memory - Insights from functional neuroimaging [J].
Fletcher, PC ;
Henson, RNA .
BRAIN, 2001, 124 :849-881
[8]   The age of acquisition of words produced in a semantic fluency task can reliably differentiate normal from pathological age related cognitive decline [J].
Forbes-McKay, KE ;
Ellis, AW ;
Shanks, MF ;
Venneri, A .
NEUROPSYCHOLOGIA, 2005, 43 (11) :1625-1632
[9]   DELUSIONAL MISIDENTIFICATION IN ALZHEIMERS-DISEASE - A SUMMARY OF CLINICAL AND BIOLOGICAL ASPECTS [J].
FORSTL, H ;
BESTHORN, C ;
BURNS, A ;
GEIGERKABISCH, C ;
LEVY, R ;
SATTEL, A .
PSYCHOPATHOLOGY, 1994, 27 (3-5) :194-199
[10]   PSYCHIATRIC, NEUROLOGICAL AND MEDICAL ASPECTS OF MISIDENTIFICATION SYNDROMES - A REVIEW OF 260 CASES [J].
FORSTL, H ;
ALMEIDA, OP ;
OWEN, AM ;
BURNS, A ;
HOWARD, R .
PSYCHOLOGICAL MEDICINE, 1991, 21 (04) :905-910