028 a2 Dra Denia Caso Psicosomatica Jun09
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Transcript of 028 a2 Dra Denia Caso Psicosomatica Jun09
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Mujer de 18 años
Cuadro de afasia mixta (de predominiomotor), alteración del comportamiento y
crisis parciales complejas RM: Alt. En hipocampo izdo. Post. normal
Diagnóstico encefalitis límbica
Cuadro catatonia
Aplicación 10 sesiones TEC Persistencia de algunos déficit cognitivos
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EVALUACION NEUROPSICOLOGICA
(PERIODO SEPTIEMBRE-NOVIEMBRE2007)
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Acude acompañada por los padres
No se detectan alteraciones conductuales, niestado ansioso o depresivo
Poca tolerancia a la frustración
Discurso parco en palabras: sabe que no hablacomo antes y evita el diálogo ofreciendorespuestas cortas monosilábicas
Colaboradora para realizar todas las pruebas
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Mini ExamenCognoscitivo
(MEC)
TrailMakingTest(A y B) WAIS-III
TareaCancelacióncampanas
ToulousePiéron
TRVB Figura deRey
TAVEC SubtestMemoria
Lógica(RMBT)
Lista deaprendizaje
paresasociados
Evaluaciónde Praxias-Subtest TESTBARCELONA
Perfil deAfasias- TESTBARCELONA
TestdeVocabulariode Boston
FAS(FluidezVerbal)
Testde loscinco Puntos(Fluidez deDiseños)
Testde loscinco Dígitos
TestdeStroop
Subtest delZoo (BADS)
TestClasificación cartas(WCST)
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ESFERA VERBAL
CV MT
V S I C A D L
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ESFERA MANIPULATIVA
OP VP
HI FI CC M CN BS R
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RESULTADOS WAIS-III
CIV: 69 CIM: 71 CIT: 69 CV: 75 OP: 71 MT: 73 VP: 75
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Orientada 3 esferas
Tarea Cancelación Campanas: 35aciertos/35. 0 errores. 0 omisiones
Toulouse- Piéron: Centil 5
TMT A B
(01/10/07) 95”>40” FRACASO
(13/11/07) 48”>40” 120”>90”
SPAN DIRECTO SPAN INVERSO
5 4
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Adecuadas Praxias ideomotoraseideacionales
Ligera afectación capacidad inhibición.Enlentecimiento. Mejora con la práctica
Afectación praxias constructivas 2 y 3dimensión
Evaluación de Praxias- Subtest TEST BARCELONA
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COPIA F.REY
Centil 1
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TRVB: 3 aciertos/10. Nivel Muy deficiente
LISTA DE APRENDIZAJE PARES ASOCIADOS
Bloque I Bloque I Bloque I R. Demorado
4 6 7 7
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TAVEC 1 2 3 4 5 B C.P. L.P.
Correctas 6 7 10 11 10 6 8 7
Intrusiones 0 0 1 0 0 0 2 3
Perseveraciones 0 1 1 5 4 0 1 0
E. Semántica 1 0 1 3 0 1 0 1
E. Serial 2 0 3 1 2 0 0 1
MEMORIA LOGICA
(RBMT)
R. Inmediato R. Demorado
4/21 Ideas 5/21 Ideas
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FIGURACOMPLEJA REY
R.C.P. R.L.P
<C1 <C1
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Habla disártrica con dificultadesarticulatorias (afectación del lenguajeespontáneo y lectura)
Inadecuada fluidez verbal. Dificultades
en acceso almacén léxico Comprensión preservada
PERFIL DE AFASIAS- Programa integrado deexploración neuropsicológica TEST DE BARCELONA
(Revisado)
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TEST DE VOCABULARIO DE BOSTONNúmero de respuestas emitidas espontáneamente 44/60
Número de Claves semánticas dadas 17
Número de respuestas correctas después de una clavesemántica
1
Número de claves fonéticas 16
Número de respuestas correctas después de una clavefonética
10
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Test Fluidez de diseños: Total diseños: 17; Total diseñosúnicos: 14; % correcto: 82 3́5; Repeticiones: 3
ZOO1: T. Planificación: 6́ . Tiempo total ejecución: 11´(Fracaso). ZOO2: T. Planificación: 5”. Tiempo totalejecución: 3 4́5”.
WSCT: 3 categ./6. 68 R.Corr., 60 errores, 4 err.perserv, 1fallo para mantener la actitud
FAS Fonológico Semántico
19<45 31<66
STROOP P C PC Interf
31 27 28 45
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ZOO-1 (11́ ) ZOO-2 (3́45”)
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Nivel intelectual capacidad MUY BAJ O
Alteraciones en atención/concentración
Baja velocidad de proceso
Déficit en procesos mnésicosy de aprendizaje(memoria reciente, demorada y de trabajo enmodalidad verbal y visual)
Habla disártica con dificultades dearticulación y fluencia, problemas anómicos
FFEE: Déificit en capacidad de Iniciación,planif y secuenciación de conductas,flexibilidad cognitiva, fluidez verbal eideacional
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REEVALUACION
NEUROPSICOLOGICA(SEPTIEMBRE 2008)
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Mucho más animada Manifiesta deseos de realizar nuevos
proyectos (carnet conducir, estudiarbachillerato, etc.) Más habladora y segura de sí misma,
aunque persiste la timidez Colaboradora en la evaluación
Mejor tolerancia a la frustración Se interesa por conocer los resultados en
los test
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Escala WAIS-III deInteligencia para
adultos
Escala de memoria deWechsler(WMS-III)
Trail Making Test(A y B)
TRVB Figura de Rey Testde AprendizajeAuditivo-Verbal de Rey
(RAVLT)
Evaluaciónde Praxias-Subtest TESTBARCELONA
FAS Subtest del Zoo(Bads)
TestdeStroop
Testde loscinco Puntos
TestClasificación
cartas( WCST)
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ESFERA VERBAL
CV MT
V S I C A D L
19 --- --- --- --- --- --- ---
18 --- --- --- --- --- --- ---
17 --- --- --- --- --- --- ---
16 --- --- --- --- --- --- ---
15 --- --- --- --- --- --- ---14 --- --- --- --- --- --- ---
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ESFERA MANIPULATIVA
OP VP
HI FI CC M CN BS R
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18 --- --- --- --- --- --- ---
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15 --- --- --- --- --- --- ---14 --- --- --- --- --- --- ---
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RESULTADOS WAIS-III
CIV: 69 CIM: 71 CIT: 69 CV: 75 OP: 71 MT: 73 VP: 75
CIV: 91 CIM: 89 CIT: 89 CV: 94 OP: 83 MT: 94 VP: 117
2007
2008
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TMT A B
(01/10/07) 95”>40” FRACASO
(13/11/07) 48”>40” 120”>90”
(10/09/08) 33”<40” 40”<90
SPAN
DIRECTO
SPAN
INVERSO2007 5 4
2008 6 6
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Persiste Ligera afectación capacidadinhibición. Enlentecimiento. Mejora con lapráctica
Mejoría en praxias constructivas 2
dimensiones, aunque todavía en nivelesbajos
Evaluación de Praxias- Subtest TEST BARCELONA
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COPIA F. REY 2007 Centil 1
2008 Centil 50
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TRVB2007 2 R.corr./10 MUY DEFICIENTE2008 8 R.corr/10 NIVEL MEDIA
RAVLT 1 2 3 4 5 B A´
6 13 13 15 15 5 11
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FIGURA COMPLEJA REY
R.C.P. R.L.P2007 <C1 <C1
2008 C33 <C10
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MEMORIA INMEDIATA
AUDITIVA VISUAL
TIRe PPIRe CAIRe ESIRe
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RESULTADOS WMS-III
C.Memoria Inm: 91 C.Memoria Demor: 102 C.Memoria Trab: 107
MEMORIA DEMORADA
AUDITIVA VISUAL
TIIRe PPIIRe ReAuD CAIRe ESIRe
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M. TRABAJO
AUD VIS
LeNu LoEs
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Expresión verbal: fluente, no afásico.Dificultades aisladas de tipoarticulatorio. Dificultades en fluidez
verbal. Comprensión verbal: Adecuada
Lectura: Adecuada
Escritura: Adecuada
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FAS Fonológico Semántico
2007 19<45 31<66
2008 28<45 65<66
STROOP P C PC Interf 2007 31 27 28 45
2008 48 51 55 80
Test5 puntos Total D. D. Únicos % Correct. Repeticiones
2007 17 14 82% 32008 31 30 97% 1
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ZOO 1 2
2007 Fracaso 3́ 45”
2008 Fracaso 2́ 12”
WCST Cat. Con. NºIntentos Fallos M. actitud
2007 3 128 1
2008 3 128 1
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CAPACIDADES QUEMEJORAN HASTA LA
NORMALIDAD
CAPACIDADES QUEMEJORAN SINALCANZR LA
NORMALIDAD
DEFICIT QUE SEMANTIENEN
•Capac idad intelectual(Nivel medio-bajo)•
Veloc idad proceso•Funciones atencionales•Praxias constructivas(copia)•Lenguaje•Fluidez Verbal (clavesemántica)•
Memoria:- Memoria de trabajo
•Organizaciónperceptiva•
Habilidadesconstructivas en 3dimensiones•Memoria auditivaverbal Inmediata(especialmente coninformación compleja
y numerosa)•Capacidadaritmética•Fluidez Verbal (clavefonética)
•Habilidadesconstructivas en 3
dimensiones•FUNCIONESEJ ECUTIVAS:
- Planificación- Toma decisiones