Beneficial effects of a multidomain cognitive rehabilitation program for traumatic brain injury–associated diffuse axonal injury: a case report
Abstract Background Neuropsychological rehabilitation is a crucial component of medical care for patients with diffuse axonal injury (DAI). However, current cognitive intervention programs directed to favor the training of specific domains individually have shown controversial results. Here, we eval...
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| Format: | Article |
| Language: | English |
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BMC
2021-01-01
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| Series: | Journal of Medical Case Reports |
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| Online Access: | https://doi.org/10.1186/s13256-020-02591-7 |
| _version_ | 1818460874046701568 |
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| author | Tania de la Rosa-Arredondo José Alberto Choreño-Parra Jessica Amira Corona-Ruiz Patricia Emilia Rodríguez-Muñoz Francisco Javier Pacheco-Sánchez Alberto Iván Rodríguez-Nava Gabriela García-Quintero Parménides Guadarrama-Ortiz |
| author_facet | Tania de la Rosa-Arredondo José Alberto Choreño-Parra Jessica Amira Corona-Ruiz Patricia Emilia Rodríguez-Muñoz Francisco Javier Pacheco-Sánchez Alberto Iván Rodríguez-Nava Gabriela García-Quintero Parménides Guadarrama-Ortiz |
| author_sort | Tania de la Rosa-Arredondo |
| collection | DOAJ |
| description | Abstract Background Neuropsychological rehabilitation is a crucial component of medical care for patients with diffuse axonal injury (DAI). However, current cognitive intervention programs directed to favor the training of specific domains individually have shown controversial results. Here, we evaluated the effectiveness of a neuropsychological rehabilitation program directed to favor training of attention, memory, visuospatial abilities, and executive functioning together in a patient with severe traumatic brain injury (TBI)-associated DAI. Case presentation A 26-year-old Hispanic woman with a recent history of a severe TBI attended our center complaining of memory problems, dysarthria, and difficulty in planning. A comprehensive cognitive assessment revealed dysfunction in sustained, selective, and divided attention, alterations in memory, planning, and organization of executive behavior, as well as impairment of visuospatial cognitive functions. The patient underwent a 24-week neuropsychological rehabilitation program directed to favor attention, memory, visuospatial abilities, and executive functioning together. After the cognitive intervention, we observed a better patient's performance in tasks requiring sustained, selective, and divided attention, improvement of encoding and retrieval memory problems, use of spatial relationships, planning, and organization of behavior skills. We also observed generalization effects on other domains, such as learning, mental flexibility, inhibition functions, and language. Conclusions In conclusion, our results suggest that neuropsychological rehabilitation programs favoring multiple domains together are useful in reestablishing cognitive deficits in patients with severe DAI. |
| first_indexed | 2024-12-14T23:37:10Z |
| format | Article |
| id | doaj.art-aa957d3e94d64a19863321ed5f30e881 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-14T23:37:10Z |
| publishDate | 2021-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-aa957d3e94d64a19863321ed5f30e8812022-12-21T22:43:36ZengBMCJournal of Medical Case Reports1752-19472021-01-011511610.1186/s13256-020-02591-7Beneficial effects of a multidomain cognitive rehabilitation program for traumatic brain injury–associated diffuse axonal injury: a case reportTania de la Rosa-Arredondo0José Alberto Choreño-Parra1Jessica Amira Corona-Ruiz2Patricia Emilia Rodríguez-Muñoz3Francisco Javier Pacheco-Sánchez4Alberto Iván Rodríguez-Nava5Gabriela García-Quintero6Parménides Guadarrama-Ortiz7Neuropsychology Department, Centro Especializado en Neurocirugía, Neurociencias México (CENNM)Department of Neurosurgery, Centro Especializado en Neurocirugía y Neurociencias México (CENNM)Neuropsychology Department, Centro Especializado en Neurocirugía, Neurociencias México (CENNM)Department of Neurosurgery, Centro Especializado en Neurocirugía y Neurociencias México (CENNM)Department of Neurosurgery, Centro Especializado en Neurocirugía y Neurociencias México (CENNM)Department of Neurosurgery, Centro Especializado en Neurocirugía y Neurociencias México (CENNM)Department of Neurosurgery, Centro Especializado en Neurocirugía y Neurociencias México (CENNM)Department of Neurosurgery, Centro Especializado en Neurocirugía y Neurociencias México (CENNM)Abstract Background Neuropsychological rehabilitation is a crucial component of medical care for patients with diffuse axonal injury (DAI). However, current cognitive intervention programs directed to favor the training of specific domains individually have shown controversial results. Here, we evaluated the effectiveness of a neuropsychological rehabilitation program directed to favor training of attention, memory, visuospatial abilities, and executive functioning together in a patient with severe traumatic brain injury (TBI)-associated DAI. Case presentation A 26-year-old Hispanic woman with a recent history of a severe TBI attended our center complaining of memory problems, dysarthria, and difficulty in planning. A comprehensive cognitive assessment revealed dysfunction in sustained, selective, and divided attention, alterations in memory, planning, and organization of executive behavior, as well as impairment of visuospatial cognitive functions. The patient underwent a 24-week neuropsychological rehabilitation program directed to favor attention, memory, visuospatial abilities, and executive functioning together. After the cognitive intervention, we observed a better patient's performance in tasks requiring sustained, selective, and divided attention, improvement of encoding and retrieval memory problems, use of spatial relationships, planning, and organization of behavior skills. We also observed generalization effects on other domains, such as learning, mental flexibility, inhibition functions, and language. Conclusions In conclusion, our results suggest that neuropsychological rehabilitation programs favoring multiple domains together are useful in reestablishing cognitive deficits in patients with severe DAI.https://doi.org/10.1186/s13256-020-02591-7Cognitive rehabilitationTraumatic brain injuryDiffuse axonal injuryCognitive impairment |
| spellingShingle | Tania de la Rosa-Arredondo José Alberto Choreño-Parra Jessica Amira Corona-Ruiz Patricia Emilia Rodríguez-Muñoz Francisco Javier Pacheco-Sánchez Alberto Iván Rodríguez-Nava Gabriela García-Quintero Parménides Guadarrama-Ortiz Beneficial effects of a multidomain cognitive rehabilitation program for traumatic brain injury–associated diffuse axonal injury: a case report Journal of Medical Case Reports Cognitive rehabilitation Traumatic brain injury Diffuse axonal injury Cognitive impairment |
| title | Beneficial effects of a multidomain cognitive rehabilitation program for traumatic brain injury–associated diffuse axonal injury: a case report |
| title_full | Beneficial effects of a multidomain cognitive rehabilitation program for traumatic brain injury–associated diffuse axonal injury: a case report |
| title_fullStr | Beneficial effects of a multidomain cognitive rehabilitation program for traumatic brain injury–associated diffuse axonal injury: a case report |
| title_full_unstemmed | Beneficial effects of a multidomain cognitive rehabilitation program for traumatic brain injury–associated diffuse axonal injury: a case report |
| title_short | Beneficial effects of a multidomain cognitive rehabilitation program for traumatic brain injury–associated diffuse axonal injury: a case report |
| title_sort | beneficial effects of a multidomain cognitive rehabilitation program for traumatic brain injury associated diffuse axonal injury a case report |
| topic | Cognitive rehabilitation Traumatic brain injury Diffuse axonal injury Cognitive impairment |
| url | https://doi.org/10.1186/s13256-020-02591-7 |
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