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A case of complex regional pain syndrome with agnosia for object orientation.
Pain
July 2011
Department of Neuropsychology, National Hospital for Neurology and Neurosurgery, Queen Square, London, UK School of Psychology, University of Queensland, St. Lucia, Brisbane, Australia The Royal National Hospital for Rheumatic Diseases, Bath, UK The Royal National Orthopaedic Hospital, Stanmore, UK Pain Management Centre, National Hospital for Neurology and Neurosurgery, Queen Square, London, UK Pain Research Institute, University of Liverpool and the Walton Centre NHS Trust, Liverpool, UK.
This systematic investigation of the neurocognitive correlates of complex regional pain syndrome (CRPS) in a single case also reports agnosia for object orientation in the context of persistent CRPS. We report a patient (JW) with severe long-standing CRPS who had no difficulty identifying and naming line drawings of objects presented in 1 of 4 cardinal orientations. In contrast, he was extremely poor at reorienting these objects into the correct upright orientation and in judging whether an object was upright or not.
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