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Pre- and post-right middle cerebral artery stroke in a young adult: A case study examining the sensitivity of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS)

Applied Neuropsychology, ISSN: 0908-4282, Vol: 13, Issue: 3, Page: 194-200
2006
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Article Description

Right-hemisphere strokes are associated with a number of neurobehavioral deficits. The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) is a relatively new, but widely used screening battery; however, there is little published research in patients who have sustained strokes. We present a rare case of stroke in a 22-year-old psychiatric patient, who received neuropsychological evaluations before and after sustaining a right middle cerebral artery (MCA) stroke. The RBANS demonstrated sensitivity to post-stroke changes despite pre-stroke cognitive impairments and a complex psychiatric overlay, with the Visuospatial/ Constructional index being one of the most sensitive indicators of right hemisphere dysfunction. Line Orientation fell from normal to defective levels; these findings were associated with decline in related standard neuropsychological measures. Copyright 2006 by Lawrence Erlbaum Associates, Inc.

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