Singular case of the driving instructor: Temporal and topographical disorientation

Lesions of the medio‐parietal lobes are linked with topographical and temporal disorientation, and are of interest to understanding mental time. We examined a 39‐year‐old man who worked as a driving instructor before cerebral hemorrhage, and followed his case for 8 years including neuropsychological...

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Bibliographic Details
Published in:Neurology and clinical neuroscience 2018-01, Vol.6 (1), p.16-18
Main Authors: Futamura, Akinori, Honma, Motoyasu, Shiromaru, Azusa, Kuroda, Takeshi, Masaoka, Yuri, Midorikawa, Akira, Miller, Michael W, Kawamura, Mitsuru, Ono, Kenjiro
Format: Article
Language:English
Subjects:
Amnesia
Blood flow
Case Report
Case Reports
Computed tomography
future thinking
Hemorrhage
Magnetic resonance imaging
Measuring techniques
Medical imaging
mental time
Neuroimaging
Parietal lobe
Psychology
temporal disorientation
time perception
topographical disorientation
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Summary:Lesions of the medio‐parietal lobes are linked with topographical and temporal disorientation, and are of interest to understanding mental time. We examined a 39‐year‐old man who worked as a driving instructor before cerebral hemorrhage, and followed his case for 8 years including neuropsychological testing and brain imaging. The patient had mild anterograde episodic amnesia, but no semantic amnesia. He felt that time passed too quickly, and developed a compulsive routine to compensate, although he was able to count time at a normal speed. Furthermore, he was unable to accurately sketch the layout of his house and to make a cross‐reference type timetable for the future. Brain magnetic resonance imaging showed lesions of the left anterior–posterior cingulate gyrus, and N‐isopropyl‐[123I] p‐iodoamphetamine single‐photon emission computed tomography showed decreased blood flow mainly of the left medio‐parietal lobe.
ISSN:2049-4173
2049-4173
DOI:10.1111/ncn3.12166