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Right Middle Cerebral Artery Stroke in a Male of Prime Working Age

  • Karen M. Sanders
  • William Likosky
Chapter

Abstract

This case is an example of a right middle cerebral artery infarct in a young man, Mr. S. His notable motor improvement and persistence of good language skills raised unique questions to his medical team regarding potential to resume normal activities and his failure to do so. Were his deficits amenable to specific rehabilitation modalities? Issues concerning ability to live independently, vocational planning, completion of schooling, and driving were on the minds of the patient and the family, as well as his professional caregivers. Neuropsychological testing was used to help determine ability to complete these tasks.

Keywords

Right middle cerebral artery stroke; Neuropsychological assessment Cognitive and vocational rehabilitation Stroke recovery 

References

  1. 1.
    Freburger JK, Holmes GM, Ku LJ, Cutchin MP, Heatwole-Shank K, Edwards LJ. Disparities in post-acute rehabilitation care for stroke: an analysis of the state inpatient databases. Arch Phys Med Rehabil. 2011;92(8):1220–9.CrossRefGoogle Scholar
  2. 2.
    Ricker J, DeLuca J, Frey S. On the changing roles of neuroimaging in rehabilitation science. Brain Imaging Behav. 2014;8(3):333–4.CrossRefGoogle Scholar
  3. 3.
    Crouse EM, Roper BL. Large right hemisphere stroke. In: Morgan JE, Baron IS, Ricker JH, editors. Casebook of clinical neuropsychology. New York: Oxford Press. p. 2011.Google Scholar
  4. 4.
    Festa J, Lazar R, editors. Neurovascular neuropsychology. New York: Springer; 2009.Google Scholar
  5. 5.
    Vossel S, Weiss P, Eschenbeck P, Fink GR. Anosognosia, neglect, extinction and lesion site predict impairment of daily living after right-hemispheric stroke. Cortex. 2013;49(7):1782–9.CrossRefGoogle Scholar
  6. 6.
    Chen P, Goedert KM, Shah P, Foundas AL, Barrett AM. Integrity of medial temporal structures may predict better improvement of spatial neglect with prism adaptation treatment. Brain Imaging Behav. 2014;8(3):346–58.CrossRefGoogle Scholar
  7. 7.
    Wittenberg GF, Lovelace CT, Foster DJ, Maldjian JA. Functional neuroimaging of dressing-related skills. Brain Imaging Behav. 2014;8(3):335–45.CrossRefGoogle Scholar
  8. 8.
    Asada T, Takayama Y, Oita J, Fukuyama H. Effects of mental rotation on acalculia: differences in the direction of mental rotation account for the differing characteristics of acalculia induced by right and left hemispheric brain injury. Neurocase. 2014;20(2):163–74.CrossRefGoogle Scholar
  9. 9.
    Lara C, Ferro J, Costa J. Apathy secondary to stroke: a systematic review and meta-analysis. Cerebrovasc Dis. 2013;35(1):23–39.CrossRefGoogle Scholar
  10. 10.
    Robinson G, Shallice T, Bozzali M, Cipolotti L. The differing roles of the frontal cortex in fluency tests. Brain. 2012;135(7):2202–14.CrossRefGoogle Scholar
  11. 11.
    Murphy P, Shallice T, Robinson G, et al. Impairments in proverb interpretation following focal frontal lobe lesions. Neuropsychologia. 2013;51(11):2075–86.CrossRefGoogle Scholar
  12. 12.
    Goel V, Vartanian O, Bartolo A, et al. Lesions to right prefrontal cortex impair real-world planning through premature commitment. Neuropsychologia. 2013;51(4):713–24.CrossRefGoogle Scholar
  13. 13.
    Caeiro L, Ferro JM, Costa J. Apathy secondary to stroke: a systemic review and meta-analysis. Cerebrovasc Dis. 2013;35(1):23–39.CrossRefGoogle Scholar
  14. 14.
    Leigh R, Oishi K, Hsu J, et al. Acute lesions that impair affective empathy. Brain. 2013;136:2539–49.CrossRefGoogle Scholar
  15. 15.
    DuBois B, Slachevsky A, Litvan I, Pillon B. The FAB: a frontal assessment battery at bedside. Neurology. 2000;55(11):1621–6.CrossRefGoogle Scholar
  16. 16.
    Tanner JJ, Mellott EM, Dunne EM, Price CC. Integrating neuropsychology and brain imaging for a referral of possible pseudodementia: a case report. Clin Neuropsychol. 2015;29(2):272–92.CrossRefGoogle Scholar
  17. 17.
    Walker M, Sunderland A, Fletcher-Smith J, et al. The DRESS trial: a feasibility randomized controlled trial of a neuropsychological approach to dressing therapy for stroke patients. Clin Rehabil. 2012;26(8):675–85.CrossRefGoogle Scholar
  18. 18.
    Turunen KEA, Laari SPK, Kauranen TV, et al. Domain-specific cognitive recovery after first-ever stroke: a 2-year follow-up. J Int Neuropsychol Soc. 2018;24:117–27.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Karen M. Sanders
    • 1
  • William Likosky
    • 2
  1. 1.Department of Psychiatry and Behavioral SciencesUniversity of Washington School of MedicineSeattleUSA
  2. 2.Department of NeurologyUniversity of California at San Francisco/FresnoFresnoUSA

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