A case of comorbidities highlighting cerebral stroke, vision impairment, and dementia

Kimberly Hreha; Praveena Gupta; Timothy Reistetter

doi:10.1177/2050313X20975246

A case of comorbidities highlighting cerebral stroke, vision impairment, and dementia

SAGE Open Med Case Rep. 2020 Nov 24:8:2050313X20975246. doi: 10.1177/2050313X20975246. eCollection 2020.

Authors

Kimberly Hreha¹, Praveena Gupta², Timothy Reistetter³

Affiliations

¹ Division of Rehabilitation Science, School of Health Professions, University of Texas Medical Branch, Galveston, TX, USA.
² Department of Ophthalmology and Visual Sciences, University of Texas Medical Branch, Galveston, TX, USA.
³ Department of Occupational Therapy, School of Health Professions, University of Texas, San Antonio, TX, USA.

Abstract

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.

Keywords: Visual impairment; aging; comorbidities; dementia; neuro-ophthalmology; stroke.

Publication types

Case Reports

Abstract

Publication types

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