Case Reports in Neurology (Apr 2024)

The Rehabilitation for Visual Cognitive Impairment due to Hippocampal Infarction: A Case Report

  • Tomoo Mano,
  • Sakura Kirimura,
  • Yuto Uchihara,
  • Hideki Takashima,
  • Takashi Masuda

DOI
https://doi.org/10.1159/000538915

Abstract

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Introduction: Disturbances in the visual pathway cause visual cognitive impairment. There is a lack of information regarding the effect of rehabilitation on individuals affected by this condition. Therefore, it is crucial to understand the effectiveness of rehabilitation interventions in this condition. Case Presentation: We present the case of an 87-year-old woman with hippocampal infarction. While the patient’s ability to perform daily activities and engage in conversations was normal, she faced challenges at the execution stage, such as naming, constructing sentences, and copying. We diagnosed cerebral embolism because of atrial fibrillation and initiated direct oral anticoagulant therapy. Subsequently, we initiated a rehabilitation treatment comprising visual agnosia training (attribute learning training), verbalization learning training (writing training), and semantic memory training (copying training) to address visual agnosia. Conclusion: Associative visual perception challenges arising from hippocampal infarcts are rare and can be improved with early intervention through a rehabilitation program for visual agnosia.

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