Rehabilitation in severe memory deficit: A case study

ABSTRACT The term amnesia refers to a pathological state of mind in which memory and learning are affected to a greater extent than other cognitive functions in a patient without altered level of consciousness. The aim of the current study was to describe a case of severe amnesia in a patient during neurological rehabilitation and to report the importance of preserved cognitive functions to compensate for the mnemonic deficit. VJA presented a clinical condition suggestive of encephalopathy due to caloric-protein malnutrition following several abdominal surgical procedures for complicated choledocholithiasis. A descriptive analysis of the results was carried out to outline the goals attained and the factors limiting implementation of memory aids. After the intervention program, consisting of individual and group activities, VJA showed improvement in level of recall with repetition of tasks, but still required constant external monitoring. Longitudinal follow-up is necessary to obtain more consistent results.

【摘要】 失忆症（amnesia）是指一类病理性精神状态，此类患者意识水平未发生改变，但记忆与学习功能受影响的程度远高于其他认知功能。本研究旨在描述1例神经康复期间出现重度失忆症的患者病例，并阐述保留完好的认知功能对弥补记忆缺损的重要意义。患者VJA因复杂性胆总管结石症接受多次腹部手术后，出现了疑似由热量-蛋白质营养不良引发的脑病临床表现。本研究对研究结果开展描述性分析，以梳理已达成的干预目标以及限制记忆辅助工具应用的相关因素。在包含个体与团体活动的干预方案实施后，患者VJA在重复任务时的回忆能力有所提升，但仍需持续的外部监护。需开展纵向随访以获得更具一致性的研究结果。