The case of mister mg-Psych 340Presentation Transcript
The Case of Mister MG
Case Study Evaluation
63 year old
Right Handed Male
Documented High Blood Pressure for several years
Prior history of Coronary Occlusion
Morning attack of giddiness and
Inability to read
Three days later developed slight
Neurological examination also
disclosed dysphasia and
• Reduced density involving the lower mesial region of the left occipital lobe
• Possible inclusion of the hippocampus
• Left Sylvain fissure and trigon were markedly enlarged
• Decreased density was also apparent in the upper portion of the left
• Cerebellar hemisphere
Weakness on right side, right hemiparesis.
a. Right-sided hemiparesis involves injury to the left side of the
person's brain, which is the side of the brain controlling speech and
a. Dysphasia, also referred to as Aphasia, is a partial or complete
impairment of the ability to communicate resulting from brain
Homonymous hemianopia is a visual field
defect involving either the two right or the
two left halves of the visual fields of both
eyes. It is caused by lesions on the
("Homonymous Hemianopia", 2013)
Loss of ability to form mental images
Picture naming impaired
Object naming normal
He could identify the pictures he was not able to name
pointing to pictures as named by examiner
Write single letters to dictation, but could not read8 out of 10 letters
Reading of syllables and words was severely impaired with 45 and 80
The reading of meaningless words and of sentences was impossible.
Follow up visit four months after incident
Writing to dictation almost to normal
Picture naming capabilities had improved, but only slightly. He could
name 11 pictures out of 20.
Few, if any, errors in reading single letters and syllables
Hesitant in reading words but he was 100% accurate
In contrast, when reading meaningless words he was still considerably
Incapable of reading sentences.
All other modalities of mental imagery affected also. Patient
complained of no imagination of sounds, tastes, or smells
Rehabilitation from strokes
Physiatrists-doctors who specialize in rehabilitation.
Physical therapists -are specialized in treating disabilities related to
large movement and can help with endurance, strength, and range of
Occupational therapists –help people with daily living and fine motor
Electrical Stimulation- placement of small electrical pads on the muscles
of the person's weakened limb and applying a small electrical charge to
help the muscles contract as the person works to make it move.
Cortical Stimulation-electrical stimulation to the area of the brain called
the cortex by placing a tiny electrode on the membrane covering the brain.
The person performs rehabilitation exercises while the stimulation is
given. (Left Hemispheric Stroke (2013)).
Rehabilitation and Therapy
Speech therapy can help improve
Time helps the Dysphasic
sufferer recover to some extent
without any therapy
Many learn to Adapt to the
situation with slower speech,
repetition, or using gestures, and
avoiding noisy areas (Dysphasia,
Dysphasia. (2011). Retrieved from
Effects of stroke. (n.d.). Retrieved from
Homonymous hemianopia. (2009). Retrieved from
Homonymous hemianopia. (2013). Retrieved from http://• Cite
your source http://www.uptodate.com/contents/homonymous-
Left Hemispheric Stroke. (2013). Retrieved from
LOSS OF MENTAL IMAGERY: A CASE STUDY. (1980, February ).
Neuropsychology, Vol. 18 (), 435 to 442.
National Institute of Neurological Disorders and Stroke. (2013)
Retrieved from http://www.ninds.nih.gov/disorders/stroke/stroke.htm