Effect of Cognitive Rehabilitation Using Reality Orientation & Self-awareness Video on Memory Deficits and Insight Loss in Two Patients with Basal Forebrain Amnesia and Thalamic Amnesia

  • Omori Tomohiro
    Department of Rehabilitation, Kawagoe Rehabilitation Hospital.
  • Anamizu Sachiko
    Department of Speech and Hearing Sciences, International University of Health and Welfare School of Health Sciences
  • Kato Motoichiro
    Department of Neuropsychiatry, Keio University School of Medicine
  • Taniai Shinichi
    Department of Otolaryngology-Head and Neck Surgery, National Defense Medical College

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  • 前脳基底部健忘症例, および視床性健忘症例に対する「reality orientation & self-awareness video」を用いた 認知リハビリテーション

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<p>  A PC-based therapeutic approach named cognitive rehabilitation was employed for two patients with memory deficits and insight loss caused by anosognosia-related basal forebrain amnesia and thalamic amnesia. In this cognitive rehabilitation, patients are shown videos taken during their rehabilitation sessions. What is shown consists of two parts. The first part provides some knowledge about cerebrovascular disease awareness and introduces images and music associated with various seasonal events. The second part shows the patients own activities during the rehabilitation. Here, in both patientʼs the cognitive rehabilitation produced a good process whereby anterograde memory improved after improvement of self-awareness, including awareness of disease. Although the two patientʼs degrees of improvement and requisite periods of rehabilitation differed, having them watch videos of their own rehabilitation (reality orientation & self-awareness video) was in both cases found to be beneficial for promoting awareness of amnesia, along with the possibility that such awareness may lead to improvement by self-recall of their disease properties.</p>

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