Efecto de la rehabilitación neuropsicológica en la enfermedad vascular cerebral en etapa crónica en adolescentes. Estudio de caso

Resumen

Introduction: Stroke is rare in teenagers, however, it may have more important consequences at this age due to the fact that many cognitive functions are still under development. There are very few reports on the effect of neuropsychological rehabilitation (NR) in teenagers with stroke in the chronic stage. Objective: To present the effects of a NR program on the cognitive, emotional and functional state in a 19-year-old patient with chronic sequelae of stroke. Material and methods: We present the case of a 19-year-old male who suffered a cryptogenic hemorrhagic stroke in the right basal ganglia at 16 years of age. A NR program of 12 weekly sessions of one hour was carried out. An evaluation was carried out before and after the intervention using tasks from the brief Neuropsi test, from the BANFE battery, as well as tasks oriented to the exploration of spatial skills and the Beck Depression Inventory (BDI). Results: The NR program generated effects on the registration and evocation of the verbal memory task and calculation of the brief Neuropsi test; improved execution times and successes in BANFE tasks and achieved better performance in spatial skills. Depressive symptoms decreased and at a functional level, the patient was able to resume some academic activities in an informal context. Conclusion: NR is a therapeutic resource capable of improving the cognitive and emotional state in chronic patients, which can facilitate the return of patients to their daily and academic activities.