Case Study On A Patients Neuropsychological Assessment

Case Study On A Patients neuropsychological AssessmentTL was referred for a follow-up neuropsychological assessment to determine current symptomatology and level of cognitive operation in light of executive dys mathematical function potentially manifesting itself, following traumatic brain injury incurred during a motor vehicle injury in November, 2008.TL is a 44 year old, right-handed male. sledding school at age 15, he pursued a c beer in media and publishing. Prior to injury, he had been living and working in Asia for the past 13 years, where his wife and child remain to date. TL in short finds himself unable to mentally cope with previous working environment demands, where resultant financial challenges make cater for his family unfeasible. History of alcohol abuse since age 16 has necessitated repeated AA involvement. He currently leads a precise restricted lifestyle, living alone in a single room and unable to handle practice daily challenges. He has served as an inpatient in hospital, as well as having had a mailboat of care set up at home.TL exhibits no recollection of the accident itself, where upon regaining consciousness, mandatory time to orient himself. Irregular retrograde amnesic episodes have been reported since, where he considers day-to-day memory to have improved markedly. TL has also experienced sporadic tonic seizures, for which he is receiving anti-epileptics. Most noticeably, he experiences challenges structuring daily life through multi-tasking and organization, where reliance on a notebook provides security, besides is maintained or so chaotically. Magnetic-resonance-imaging revealed damage to large portions of the left frontal lobe and anterior temporal pole, as well as glib sclerosis following intra-cerebral haemorrhages in the cerebrospinal fluid.TL expressed frustrations well-nigh inability to work and the implications for reunifying his family, but seemed generally optimistic that with time, normality would return.Formal assessmentBehaviour during testingTL attended the posing unaccompanied and punctually, appearing sober. He was attentive and oriented to time, location and the investigator. There was no evidence of nomenclature or hearing impairments, and motor movements and dexterity appeared normal. He was co-operative and motivated to engage with presented tasks but was ardent about minimizing severity of his condition, insisting on marked improvements and anticipated return to normality. Based on these observations, test results are deemed legitimate estimates of present cognitive functioning but caution was undertaken in assessing self-reports in light of tendencies to disparage difficulties and restricted insights to own condition.General intellectual abilitiesTaking into consideration educational and occupational background, his pre-morbid functioning as interpreted by the National-Adult-Reading-Test-(NART-FSIQ) was average. Intellectual assessment using the Wechsler-Adult-Intelligence-Sc ale-(WAIS-III) suggests that verbal IQ was preserved, with abilities in vocabulary skills by defining words, reasoning skills and simple arithmetic falling within normal range. In contrast, his performance IQ, reflecting attending to detail, sequencing and abstract conceptualization abilities, was markedly reduced and estimated below average, highlighting significantly impaired problem-solving abilities since the accident.Memory functionFormal memory assessments indicated a severe global deficit in ability to consolidate and retort information in both immediate and delayed tasks, substantiating memory deficits documented in universal life. This impairment extended to both verbal and non-verbal items, presenting marked difficulties in immediately recognizing words and faces (