CNS Lupus Presenting Memory Disturbance and the PQRST Method for Memory Training

A 21-year-old man with CNS lupus presented recent memory disturbance (Wechsler Memory Scale-Revised; verbal 59, visual 70, general 51, attention/concentration 81, and remote recall 81), and was seen to have high intensity areas in the bilateral hippocampus and parahippocampal gyri by the FLARE method of magnetic resonance imaging. Hypoperfusion in the same and in the right temporal lobe was also found by single photon emission computed tomography. The lesions were regarded as being responsible for the recent memory disturbance, and the PQRST method was prescribed for memory training. After a 2-month training period, his recent memory disturbance improved, and scores of the WMS-R reached a normal level. We concluded that the PQRST method was useful for memory training of the CNS lupus.