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Published in: BMC Neurology 1/2020

Open Access 01-12-2020 | Stuttering | Case report

Dementia with aphasia and mirror phenomenon: examination of the mechanism using neuroimaging and neuropsychological findings: a case report

Authors: Aiko Osawa, Shinichiro Maeshima, Hidenori Arai, Izumi Kondo

Published in: BMC Neurology | Issue 1/2020

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Abstract

Background

Aphasia often appears in persons living with dementia; however, aphasia and the mirror phenomenon are rarely present at the same time.

Case presentation

Here, we report a case of fluent conversation with a person in a mirror or a magazine, and examine the underlying mechanism using brain imaging and neuropsychological findings. We found that the appearance of the mirror phenomenon may be associated with a visuospatial dysfunction caused by a decreased function of the posterior region of the right temporal and parietal lobe. Moreover, active talking to a person in a mirror or a person in a magazine could be associated with disinhibition caused by a decline in bilateral frontal lobe function.

Conclusions

This case represents a very valuable and interesting presentation because it is the first report of a long-term follow-up of the course of dementia using neurological imaging, and of the neuropsychological analysis of the mechanism of conversation with a mirror image combined with aphasia.
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Metadata
Title
Dementia with aphasia and mirror phenomenon: examination of the mechanism using neuroimaging and neuropsychological findings: a case report
Authors
Aiko Osawa
Shinichiro Maeshima
Hidenori Arai
Izumi Kondo
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Neurology / Issue 1/2020
Electronic ISSN: 1471-2377
DOI
https://doi.org/10.1186/s12883-020-01994-9

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