AI Article Synopsis
- A man initially diagnosed with dementia after the Great East Japan Earthquake presented memory impairment, but further tests revealed no clear evidence of dementia or other mental health issues.
- The patient experienced extreme trauma by witnessing his wife's death in a tsunami and being separated from his family, leading to the suspicion of dissociative disorder affecting his memory.
- Switching to treatments focused on emotional support resulted in gradual improvement of his memory, highlighting the need to consider dissociative disorders in trauma cases involving memory issues.
Article Abstract
We treated a man with a chief complaint of memory impairment after the Great East Japan Earthquake. Initially, he was diagnosed with dementia. However, after several tests, neither could a definitive diagnosis of dementia be reached, nor was there any apparent evidence for depression, epilepsy, delirium, or internal medicine diseases. During the earthquake, the patient experienced the severe trauma of watching his wife being swept away by a tsunami. Furthermore, he experienced separation from his family. Because of this traumatic experience, we suspected that dissociative disorder was involved in the development of the memory impairment and thus, we switched to treatments focusing on emotional support. Subsequently, the patient's memory impairment gradually improved. The present case demonstrates the importance of considering dissociative disorders when examining a patient with memory impairment in areas affected by disasters.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8075562 | PMC |
| http://dx.doi.org/10.5387/fms.2020-13 | DOI Listing |
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