AUTHOR=Boccia Maddalena , Bonavita Alessia , Diana Sofia , Di Vita Antonella , Ciurli Maria Paola , Guariglia Cecilia TITLE=Topographical Disorientation: Clinical and Theoretical Significance of Long-Lasting Improvements Following Imagery-Based Training JOURNAL=Frontiers in Human Neuroscience VOLUME=13 YEAR=2019 URL=https://www.frontiersin.org/journals/human-neuroscience/articles/10.3389/fnhum.2019.00322 DOI=10.3389/fnhum.2019.00322 ISSN=1662-5161 ABSTRACT=

Neuropsychological studies on acquired topographical disorientation have provided useful insights into the contribution of different brain regions to human navigation. However, little is known about the possibility to restore navigational skills after brain damage. Here we describe the case of No Longer Lost (NLL), a 49-year-old man who complained of severe topographical disorientation following traumatic brain injury. Extensive neuropsychological evaluation at baseline revealed selective episodic memory deficits and topographical disorientation. NLL underwent 8-week imagery-based treatment (IBT) inspired by current cognitive models of human spatial navigation. After IBT, NLL improved topographical skills and episodic memory. From a clinical point of view, the present study describes a model-based intervention for topographical disorientation. From a theoretical point of view, it provides new insights into the cognitive models of human spatial navigation and straightforward evidence about common phylogenetic roots of brain mechanisms devoted to spatial navigation and memory.