Hreha Kimberly, Gupta Praveena, Reistetter Timothy
Division of Rehabilitation Science, School of Health Professions, University of Texas Medical Branch, Galveston, TX, USA.
Department of Ophthalmology and Visual Sciences, University of Texas Medical Branch, Galveston, TX, USA.
SAGE Open Med Case Rep. 2020 Nov 24;8:2050313X20975246. doi: 10.1177/2050313X20975246. eCollection 2020.
This case report is of a two-time stroke survivor with significant health comorbidities. This report highlights A.R.'s pre-existing, non-neurological vision impairments, stroke-related vision impairments, in addition to cognitive impairment and possible dementia. Information including her past medical history, current functional status, and battery of assessments that were used in the acute care hospital are detailed. Conclusions include the need for comprehensive, valid, and adapted assessments especially when comorbidities are present. We suggest that cognitive assessments that do not rely on vision may have improved the test accuracy in this case.
本病例报告的是一位两次中风幸存者，伴有严重的健康合并症。本报告重点介绍了A.R.先前存在的非神经性视力障碍、与中风相关的视力障碍，以及认知障碍和可能的痴呆症。详细介绍了包括她的既往病史、当前功能状态以及在急症医院进行的一系列评估。结论包括需要进行全面、有效且经过调整的评估，尤其是在存在合并症的情况下。我们建议，不依赖视力的认知评估可能会提高本病例的测试准确性。
