Transient improvement in sensorimotor conversion during post-anoxic encephalopathy with bilateral medial temporal ischemia

Neurocase. 2013;19(6):576-82. doi: 10.1080/13554794.2012.713488. Epub 2012 Aug 29.

Abstract

We report the case of a patient with sensorimotor conversion that improved transiently during post-anoxic medial temporal ischemia inducing anterograde and retrograde amnesia. Symptoms reappeared in parallel with mnesic recovery. This case raises a hypothesis concerning the role of hippocampi and amygdalae, which are involved in emotionally-associated memory. The amnesia may have modified the patient's "self," giving her a "distant" point of view. Another hypothesis is that cerebral anoxic stress may have "reset" the cerebral network that controls behavior. These findings give clues about the mechanisms of somatoform disorder and highlight the possibility of specific therapeutic strategies to induce cognitive reappraisal of emotionally-associated experiences.

Publication types

  • Case Reports

MeSH terms

  • Amnesia, Retrograde / etiology
  • Amnesia, Retrograde / physiopathology*
  • Amnesia, Retrograde / psychology
  • Brain / physiopathology
  • Brain Ischemia / complications
  • Brain Ischemia / physiopathology*
  • Brain Ischemia / psychology
  • Conversion Disorder / complications
  • Conversion Disorder / physiopathology*
  • Conversion Disorder / psychology
  • Female
  • Humans
  • Hypoxia, Brain / complications
  • Hypoxia, Brain / physiopathology*
  • Hypoxia, Brain / psychology
  • Magnetic Resonance Imaging
  • Middle Aged
  • Neuropsychological Tests