Asomatognosia is very simply put, a lack of bodily (somatic) awareness wherein one’s body maybe seeming unusual or may be mis-perceived. Subsequent to neurological damage, the body can be completely or partially forgotten, denied, ignored or even disowned.
What is the pathology behind asomatognosia ?
Definitely the characteristic feature of our body’s normal perception is ironically that we do not notice it. Normally, we do not have the least idea of the amazing complex mechanisms working in our bodies to give us the idea of the body’s self. Asomatognosia is a state of impaired or corporeal(body) awareness. Body knowledge involves all the multiple systems; in reality there is hardly any uninvolved cognitive domain.
What are the Symptoms of asomatognosia?
The general attitude of a patient after they have been afflicted by a stroke or another neuropsychiatric event could be variable. They may be either of the following.
- Indifferent to the noticeable changes they have undergone and go on behaving as if nothing has happened to them.
- Delusional about their new feelings and experiences and rationalize them in a factual mode (For instance, this hand is not mine, but it is my mother’s).
- Loss of awareness of one’s body, is seen in victims of right hemisphere stroke who may think the body half as being strange, transformed, or even alien.
- Critical of (or even lucid about) whatever bizarre feelings he may be experiencing, and consequently explain them in a comparative kind of mode (It is as if my hand is just not mine anymore).
How can asomatognosia be diagnosed ?
It is better to diagnose asomatognosia by relying on behavioral observation and verbal accounts. Assessment proposals have to include verbal questionnaires, observation rating scales, self-rating scales, both normal and skewed mirrors, even self-drawings along with tests of motor imagery. Bisiach’s scale for personal neglect can assess the level of self-neglect.
What is the treatment of asomatognosia ?
Regular help both in the home and family, preparation ahead and working with an optimistic, partnership will aid the long-term, daily care management.1) Vestibular caloric stimulation- irrigating the contralesional exterior ear canal with cold water for a minute (60 mL, at 20°C). 2) Special lenses that induce a deviation of the whole visual field towards the lesional side have to be worn by patient. 3) Using mirrors can investigate the effects of indirect visual feedback on one’s body image.
How to find neurologists for asomatognosia treatment ?
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Disclaimer: The content provided here is meant for general informational purposes only and hence SHOULD NOT be relied upon as a substitute for sound professional medical advice, care or evaluation by a qualified doctor/physician or other relevantly qualified healthcare provider.
