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Credentials Display

Leah Allan, MOT, OTR/L

Abstract

Background: This case report provides a review of the medical background and inpatient rehabilitation course of a 41-year-old female presenting with right basal ganglia hematoma in the setting of hypertension and polysubstance use. Emphasis is placed on analysis and discussion of the interdisciplinary, multisensory therapy approaches used to address her visual neglect and homonymous hemianopia.

Method: Single-patient case report

Results: On the Disability Rating Scale, the patient’s score improved from a Day 16 score of 10 to a Day 58 score of 7. On the Modified Barthel Index, her performance improved from a Day 16 score of 21 to a Day 58 score of 45. She advanced her performance on the Single Letter Search-Crowded worksheet from locating 9.5% of “P” targets and 5.2% of “F” targets on Day 16 to 38% of “P” targets and 31.6% of “F” targets on Day 58. For the Inpatient Rehabilitation Facility Patient Assessment Instrument, the patient advanced from a primarily dependent functional level at admission to performing at partial/moderate level of assist for most functional areas at discharge.

Conclusion: This case report illustrates the value and efficacy of an interdisciplinary, multisensory therapy approach to address visual neglect and homonymous hemianopia in a post-TBI patient.

Comments

The author declares that they have no competing financial, professional, or personal interest that might have influenced the performance or presentation of the work described in this manuscript.

This patient case was undertaken and the subsequent case report written as a component of the author’s completion of the inaugural year of Mary Free Bed Rehabilitation Hospital’s 12-month Occupational Therapy Neurology Fellowship. The contents of this manuscript were presented in an 1 hr continuing education course format as a virtual interprofessional grand rounds presentation through the Mary Free Bed Education Academy on August 25, 2023.

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