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October 1982

Spatial Confabulation

Arch Neurol. 1982;39(10):674. doi:10.1001/archneur.1982.00510220072027

To the Editor.—  In a recent article in the Archives (1982;39:33-36) Fisher described a patient who, after a right parieto-occipital infarct demonstrated by computed tomographic (CT) scan, showed an isolated "disorientation for place." He raised the possibility of a relationship between spatial disorientation and topographic disorientation and stated that "only one article mentioned disturbances of orientation for place in association with focal brain lesions, that of Weinstein and Kahn...." We have also reported such a case.1,2

Report of a Case.—  A 72-year-old right-handed man was admitted to the hospital because of his peculiar behavior since an abdominal operation five months earlier. He exhibited a topographic disorientation, getting lost in his home and in town, and a spontaneous spatial confabulation; he firmly believed that he had moved to his childhood home in another town, and accused his wife of having repaired it during his absence. Chief findings were a loss

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