Published in:
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.