Anton syndrome after subarachnoid hemorrhage and delayed cerebral ischemia: A case report.

Anton syndrome Cotard syndrome Metacognition Right hemisphere Stroke Subarachnoid hemorrhage

Journal

Cerebral circulation - cognition and behavior
ISSN: 2666-2450
Titre abrégé: Cereb Circ Cogn Behav
Pays: Netherlands
ID NLM: 101774849

Informations de publication

Date de publication:
2021
Historique:
received: 16 02 2021
revised: 28 06 2021
accepted: 29 06 2021
entrez: 3 11 2022
pubmed: 30 6 2021
medline: 30 6 2021
Statut: epublish

Résumé

We report the case of a patient with ruptured middle cerebral artery aneurysm, subarachnoid hemorrhage and frontal intracerebral hemorrhage, who secondarily presented with delayed cerebral ischemia and bilateral occipital infarcts, with complete vision loss, visual anosognosia, and confabulations as the main symptoms. Additionally, the patient had defined features of Cotard syndrome, as revealed by persistent nihilistic delusions. The brain imaging studies showed a bilateral occipital ischemic lesion, as well as frontal and parietal hemorrhagic lesions in the right hemisphere. We address the general theories of anosognosia, confabulation and the problem of why a bilateral occipital lesion is not enough for these metacognitive defects to exist. The presence of right frontal and or parietal hemisphere lesions could be necessary features in most cases.

Identifiants

pubmed: 36324705
doi: 10.1016/j.cccb.2021.100023
pii: S2666-2450(21)00020-9
pmc: PMC9616440
doi:

Types de publication

Case Reports

Langues

eng

Pagination

100023

Commentaires et corrections

Type : ErratumIn

Informations de copyright

© 2021 The Author(s).

Déclaration de conflit d'intérêts

None.

Références

PM R. 2013 Jan;5(1):74
pubmed: 23332914
Neuroimage. 2002 Mar;15(3):596-603
pubmed: 11848702
J Neuropsychiatry Clin Neurosci. 2018 Winter;30(1):58-65
pubmed: 28641497
J Neuroophthalmol. 2018 Dec;38(4):511-513
pubmed: 29979335
Neurocase. 2021 Feb;27(1):64-71
pubmed: 33390066
J Neuropsychiatry Clin Neurosci. 2010 Fall;22(4):409-16
pubmed: 21037126
J Clin Exp Neuropsychol. 1989 Mar;11(2):143-205
pubmed: 2647781
Cortex. 2014 Dec;61:5-8
pubmed: 25481462
Brain. 1965 Sep;88(3):585-644
pubmed: 5318824
Cogn Neuropsychiatry. 2019 Nov;24(6):470-480
pubmed: 31597522
Nervenarzt. 2005 Sep;76(9):1132-6, 1138-40
pubmed: 16028080
Cogn Behav Neurol. 2012 Dec;25(4):216-23
pubmed: 23103861
Neurol Clin Pract. 2017 Apr;7(2):e19-e22
pubmed: 29185543
Conscious Cogn. 1995 Mar;4(1):22-51
pubmed: 7497101
Hist Psychiatry. 1999 Jun;10(38 Pt 2):269-78
pubmed: 11623880
J Hist Neurosci. 1998 Dec;7(3):225-41
pubmed: 11623845

Auteurs

Barojas-Alvarez Manuel Ricardo (BM)

Neuropsychiatry Unit, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.

Longoria-Ibarrola Erika Mariana (LE)

Dementia Laboratory, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.

Sosa-Ortiz Al (SO)

Dementia Laboratory, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.

Calleja-Castillo Juan Manuel (CJ)

Emergency Department, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.

Ramirez-Bermudez Jesus (RB)

Neuropsychiatry Unit, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.

Classifications MeSH