2022, Number 1
<< Back Next >>
Investigación en Discapacidad 2022; 8 (1)
Effect of neuropsychological rehabilitation in chronic stage of cerebral vascular disease in adolescents. Case study
Samudio CMA, Divantoque RAP, Ortega OA, Carrillo MP
Language: Spanish
References: 14
Page: 23-28
PDF size: 162.70 Kb.
ABSTRACT
Introduction: Stroke is rare in teenagers, however, it may have more important consequences at this age due to the fact that many cognitive functions are still under development. There are very few reports on the effect of neuropsychological rehabilitation (NR) in teenagers with stroke in the chronic stage.
Objective: To present the effects of a NR program on the cognitive, emotional and functional state in a 19-year-old patient with chronic sequelae of stroke.
Material and methods: We present the case of a 19-year-old male who suffered a cryptogenic hemorrhagic stroke in the right basal ganglia at 16 years of age. A NR program of 12 weekly sessions of one hour was carried out. An evaluation was carried out before and after the intervention using tasks from the brief Neuropsi test, from the BANFE battery, as well as tasks oriented to the exploration of spatial skills and the Beck Depression Inventory (BDI).
Results: The NR program generated effects on the registration and evocation of the verbal memory task and calculation of the brief Neuropsi test; improved execution times and successes in BANFE tasks and achieved better performance in spatial skills. Depressive symptoms decreased and at a functional level, the patient was able to resume some academic activities in an informal context.
Conclusion: NR is a therapeutic resource capable of improving the cognitive and emotional state in chronic patients, which can facilitate the return of patients to their daily and academic activities.
REFERENCES
Hernández Pérez F. Evento Vascular en pacientes jóvenes. Arch Med Urg Mex. 2011; 3 (2): 67-78.
Boot E, Ekker MS, Putaala J, Kittner S, De Leeuw FE, Tuladhar AM. Ischaemic stroke in young adults: a global perspective. J Neurol Neurosurg Psychiatry. 2020; 91 (4): 411-417. Available in: https://doi.org/10.1136/jnnp-2019-322424
Malone LA, Felling RJ. Pediatric Stroke: unique implications of the immature brain on injury and recovery. Pediatr Neurol. 2020; 102: 3-9. Available in: https://doi.org/10.1016/j.pediatrneurol.2019.06.016
O'Keeffe F, Liégeois F, Eve M, Ganesan V, King J, Murphy T. Neuropsychological and neurobehavioral outcome following childhood arterial ischemic stroke: attention deficits, emotional dysregulation, and executive dysfunction. Child Neuropsychol. 2014; 20 (5): 557-582.
Amorós-Aguilar L, Rodríguez-Quiroga E, Sánchez-Santolaya S, Coll-Andreu M. Effects of combined interventions with aerobic physical exercise and cognitive training on cognitive function in stroke patients: A Systematic Review. Brain Sci. 2021; 11 (4): 473.
Nayak SD, Nair M, Radhakrishnan K, Sarma PS. Ischaemic stroke in the young adult: clinical features, risk factors and outcome. Natl Med J India. 1997; 10 (3): 107-112.
Putaala J. Ischemic Stroke in Young Adults. Continuum (Minneap Minn). 2020; 26 (2): 386-414. Available in: https://doi.org/10.1212/CON.0000000000000833
Laube C, van den Bos W, Fandakova Y. The relationship between pubertal hormones and brain plasticity: Implications for cognitive training in adolescence. Dev Cogn Neurosci. 2020; 42: 100753.Available in: https://doi.org/10.1016/j.dcn.2020.100753
Wilson B. Rehabilitation of memory. Nueva York: The Guildford Press. 1987; 250pp.
Ismail FY, Fatemi A, Johnston MV. Cerebral plasticity: Windows of opportunity in the developing brain. Eur J Paediatr Neurol. 2017; 21 (1): 23-48. Available in: https://doi.org/10.1016/j.ejpn.2016.07.007
Leisman G, Mualem R, Mughrabi SK. The neurological development of the child with the educational enrichment in mind. Psicología Educativa. 2015; 21 (2): 79-96.
Lo Coco D, Lopez G, Corrao S. Cognitive impairment and stroke in elderly patients. Vasc Health Risk Manag. 2016; 12: 105-116.
Kernan WN, Ovbiagele B, Black HR, Bravata DM, Chimowitz MI, Ezekowitz MD et al. Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2014; 45 (7): 2160-2236.
Zhao Q, Wang X, Wang T, Dmytriw AA, Zhang X, Yang K et al. Cognitive rehabilitation interventions after stroke: protocol for a systematic review and meta-analysis of randomized controlled trials. Syst Rev. 2021; 10 (1): 66. Available in: https://doi.org/10.1186/s13643-021-01607-7