Relative preservation of 'animate' knowledge in an atypical presentation of herpes simplex virus encephalitis
Authors:
C. Lowe a;
S. Knapp b;
M.A. Lambon Ralph b
| Affiliations: | a Department of Psychology, University of Manchester, UK |
| b Speech and Language Therapy Department, Nottingham City Hospital, UK |
DOI:
10.1080/13554790590944591
Publication Frequency:
6 issues per year
Subjects:
Clinical Neuropsychology;
Cognitive Neuropsychology;
Cognitive Psychology;
Neuropsychology;
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Abstract
A comprehensive battery of neuropsychological tests designed to assess primary cognitive functions, including language and semantic memory, was given to MG, a patient with confirmed herpes simplex virus encephalitis. MG's initial jargon aphasia resolved over time to leave her with a mild phonological impairment. She had a very mild amnesia that was worse for verbal material and a category-specific impairment of semantic memory. This latter impairment resulted in a significant anomia that was worse for manmade/artefact items than for animate kinds. Her naming difficulties were associated with a mild impairment in comprehension that was not specific to category or feature type. MRI revealed a strongly asymmetric and atypical distribution of pathology in MG with the disease affecting the left medial temporal lobe, temporal pole, left frontotemporal and temporoparietal regions.
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