Difficulty in Matching Tools and their Recipients after Left Frontal and Parietal Infarction : A Case Report

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  • Ishibashi Rintaro
    Department of Rehabilitation, Suisyokai Murata Hospital.
  • Hanada Keisuke
    Department of Rehabilitation, Kinshukai Hanwa Memorial Hospital Department of Rehabilitation, Osaka Prefecture University Graduate School of Comprehensive Rehabilitation
  • Kondo Masaki
    Department of Neurology, Kyoto Prefectural University of Medicine
  • Kohno Masashi
    Department of Rehabilitation, Suisyokai Murata Hospital.
  • Hirayama Kazumi
    Department of Occupational Therapy, Yamagata Prefectural University of Health Sciences

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  • 道具と対象物品との対応に障害のあった左前頭葉, 頭頂葉梗塞の 1 例

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<p>  We present a patient who developed difficulty of tool use following infarction in the left frontal and parietal regions. He made errors only in matching tools and their recipients in his daily life and testing situations. If a pair of a tool and its recipient are given, the patient has no problem handling the tool. He preserved the memory of the toolsʼ names, the understanding of pantomimes using these tools, and knowledge about the structure of tools. However, he failed in the task of choosing an appropriate recipient for a given tool, and the task of choosing an appropriate tool for a given object. Some of his exhibited behaviors were considering all options, stating “I do not know,” and thinking hard. Failure in matching the tool and its recipient was apparent in testing using any sort of representations, including real items, line drawings, and characters. These results pointed to the possibility of this impairment being associated with access to the patientʼs semantic memory. Based on the observed characteristics of the impairment, we suggested to his family members to reduce options within his range of vision. As a result, the patientʼs issue with tool use decreased, thereby reducing the burden on caregivers.</p>

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