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ON ANOSOGNOSIA Report of a Case of Anosognosia for Blindness
HANS OPPENHEIMER; MAX WEISSMAN
Am J Psychiatry 1951;108:337-342.
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The State University of New York, State University Medical Center at New York, College of Medicine Department of Psychiatry and Division of Psychiatry, Kings County Hospital.

Assistant Professors of Clinical Psychiatry and Senior Psychiatrists, The State University of New York, State University Medical Center at New York, College of Medicine Department of Psychiatry and Division of Psychiatry, Kings County Hospital.

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Abstract

A 64-year-old male patient became totally blind following a cerebral vascular accident; there was no paralysis. He presented a Korsakow type of psychosis and a persistent anosognosia for his blindness. Despite the presence of optic atrophy it was assumed that the blindness was "essentially" of central origin. It was felt that the anosognosia as such was the result of the diffuse cortical disease and that a "functional" localization was more appropriate than a "topographic" one. It is also our opinion that this hypothesis applies particularly to cases of anosognosia for blindness and not to those who show anosognosia for a defect that involves the postural model of the body.

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