TY - JOUR
T1 - Frontal impairment and confabulation after herpes simplex encephalitis
T2 - A case report
AU - Destreri, Nicoletta Del Grosso
AU - Farina, Elisabetta
AU - Calabrese, Elena
AU - Pinardi, Giovanna
AU - Imbornone, Emilia
AU - Mariani, Claudio
PY - 2002
Y1 - 2002
N2 - We describe the rehabilitation training of a 53-year-old woman with severe confabulatory and dysexecutive syndrome, as well as memory impairment, after herpes simplex encephalitis (HSE). Secondary narcolepsy was also present. Neuropsychologic deficits were detailed through an extensive examination, and specific techniques were used to improve performances in each defective cognitive domain. Improvement of vigilance and attention was reached through appropriate and timed periods of rest, along with attentional tasks of growing difficulty. Different external aids were used to reduce temporal disorientation, to contrast confabulation and inertia, and to overcome memory deficits in everyday life. Their independent use by the patient was implemented through cues that were progressively reduced. Treatment also focused on planning, categorization, and topographic orientation. The patient's family gave constant support during rehabilitation and provided informal training after discharge. The patient was able to regain independence in everyday life at home.
AB - We describe the rehabilitation training of a 53-year-old woman with severe confabulatory and dysexecutive syndrome, as well as memory impairment, after herpes simplex encephalitis (HSE). Secondary narcolepsy was also present. Neuropsychologic deficits were detailed through an extensive examination, and specific techniques were used to improve performances in each defective cognitive domain. Improvement of vigilance and attention was reached through appropriate and timed periods of rest, along with attentional tasks of growing difficulty. Different external aids were used to reduce temporal disorientation, to contrast confabulation and inertia, and to overcome memory deficits in everyday life. Their independent use by the patient was implemented through cues that were progressively reduced. Treatment also focused on planning, categorization, and topographic orientation. The patient's family gave constant support during rehabilitation and provided informal training after discharge. The patient was able to regain independence in everyday life at home.
KW - Case report
KW - Encephalitis
KW - Herpes simplex
KW - Rehabilitation
UR - http://www.scopus.com/inward/record.url?scp=0036197470&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036197470&partnerID=8YFLogxK
U2 - 10.1053/apmr.2002.29646
DO - 10.1053/apmr.2002.29646
M3 - Article
C2 - 11887126
AN - SCOPUS:0036197470
VL - 83
SP - 423
EP - 426
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
SN - 0003-9993
IS - 3
ER -