000			02600na a2200289 4500
003			H12O
005			20180417112251.0
008			130622s2011 xxx||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_9582 _aBermejo Pareja, Félix _eNeurología
100			_aCamacho Salas, Ana _9748 _eNeurología
100			_aPuertas Martín, Verónica _91778 _eNeurología
100			_aMoreno Ramos, Teresa _9743 _eMedicina Interna
100			_9423 _aVillarejo Galende, Alberto _eNeurología
245	0	0	_aMirrored-self misidentification in a patient without dementia: evidence for right hemispheric and bifrontal damage _h[artículo]
260			_bNeurocase, _c2011
300			_a17(3):276-284.
500			_aFormato Vancouver: Villarejo A, Martin VP, Moreno-Ramos T, Camacho-Salas A, Porta-Etessam J, Bermejo-Pareja F. Mirrored-self misidentification in a patient without dementia: evidence for right hemispheric and bifrontal damage. Neurocase. 2011 Jun;17(3):276-84.
501			_aPMID: 20812138
504			_aContiene 48 referencias
520			_aMirrored-self misidentification, often referred as the 'mirror sign', is a delusion characterized by the inability to recognize one's own reflected image, often associated with the intact capacity to recognize others in the mirror. It has been described mainly in moderate or severe dementia, especially Alzheimer's disease. In the few reported cases without global cognitive impairment, right hemispheric and frontal dysfunctions have been described. We report a 90-year-old man with abrupt onset of the mirror sign after a minor right hemispheric ischemic stroke. Neuropsychological testing revealed preserved cognitive capacities, except for mild to moderate impairment of visuospatial skills, suggesting right hemisphere dysfunction. Neuroimaging showed a small right dorsolateral frontal infarct, and bifrontal encephalomalacia, consistent with a past history of head trauma. Scattered ischemic white matter lesions in posterior periventricular regions were also seen. It seems that the mirror sign is a multifactorial phenomenon that usually requires right hemispheric dysfunction (perceptual abnormalities, loss of familiarity) and frontal damage (loss of judgement and inability to correct wrong beliefs). The right frontal dorsolateral prefrontal cortex seems to have a crucial role in self-recognition.
710			_96 _aServicio de Medicina Interna
710			_9267 _aServicio de Neurología-Neurofisiología
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/2/pc2925.pdf _ySolicitar documento
942			_n0 _2ddc _cART
999			_c2925 _d2925