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Reduplicative paramnesia

From the Neurobehavioral Center, Boston Veterans Administration Hospital and Neurology Department, Boston University School of Medicine, Boston, Massachusetts.

A striking behavioral abnormality is described in three individuals who had had severe head trauma. At a point when general mnestic capabilities had returned to a near normal level, the patients persistently relocated the hospital at another geographical site, even in the face of compelling counter-evidence. The strong parallels in the etiology and course of the three cases justify the positing of a syndrome, here termed reduplicative paramnesia. A neuropsychologic analysis of the disorder stresses the cognitive operations entailed in geographical localization and confabulation. Clinical-pathologic considerations underline the role of right hemisphere and frontal lobe structures in the syndrome.

Dr. Benson's address is Neurobehavioral Center, Veterans Administration Hospital, 150 S. Huntington Ave., Boston, MA 02130.

This study was supported in part by grants #NS06209 and NS11408-02 from the National Institutes of Health to Boston University School of Medicine.

Received for publication July 7, 1975.

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