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To see or not to see? Neurocognitive assessment of medically unexplained visual loss.

(2019)

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Marlair_57511100_2019.pdf
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Abstract
Neurologists are often called to examine patients with vision loss complaints. In some rare cases, after numerous clinical tests, all medical causes have been ruled out and a diagnosis of "medically unexplained visual loss" (MUVL) is made. Among some hypotheses that have been suggested to explain the cause of this disorder (e.g. psychogenic), one is particularly intriguing: a loss of visual consciousness. This unique and poorly understood condition constitutes the project of this thesis, which is driven by two main objectives: one has clinical implications and aims to provide new knowledge about this disorder and its origins, the other is more fundamental and, based on the above-mentioned assumption, intends to consider this condition as a model to study consciousness. The thesis has been developed as follow: the theoretical part first presents an overview of the study of visual consciousness, including the conceptualization and the main theories. Then, a second chapter focuses on the MUVL condition and refers to some cases reported in the literature. The empirical part consists in a single case study on VG, a patient diagnosed with a medically unexplained visual loss in his right eye. The methods and the results are presented, and a general discussion is provided in the last part of the thesis.