title: Pre- and post-right middle cerebral artery stroke in a young adult: a case study examining the sensitivity of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS).
abstract: Right-hemisphere strokes are associated with a number of neurobehavioral deficits. The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) is a relatively new, but widely used screening battery; however, there is little published research in patients who have sustained strokes. We present a rare case of stroke in a 22-year-old psychiatric patient, who received neuropsychological evaluations before and after sustaining a right middle cerebral artery (MCA) stroke. The RBANS demonstrated sensitivity to post-stroke changes despite pre-stroke cognitive impairments and a complex psychiatric overlay, with the Visuospatial/Constructional index being one of the most sensitive indicators of right hemisphere dysfunction. Line Orientation fell from normal to defective levels; these findings were associated with decline in related standard neuropsychological measures.
authors.affiliation: University of Iowa, Department of Psychiatry, MEB 1-308, Iowa City, IA 52242-1000, USA. kevin-duff@uiowa.edu
authors.forename: Kevin
authors.initials: K
authors.lastname: Duff
authors.forename: Leigh J
authors.initials: LJ
authors.lastname: Beglinger
authors.forename: Julie D Jenks
authors.initials: JD
authors.lastname: Kettmann
authors.forename: John D
authors.initials: JD
authors.lastname: Bayless
mesh_terms: D000328:Adult; D000849:Anomia / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology; D001925:Brain Damage, Chronic / Q000175:diagnosis* / Q000503:physiopathology / Q000523:psychology; D004292:Dominance, Cerebral / Q000502:physiology*; D005260:Female; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000175:diagnosis* / Q000503:physiopathology / Q000523:psychology; D008569:Memory Disorders / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology; D009483:Neuropsychological Tests / Q000706:statistics & numerical data*; D009949:Orientation / Q000502:physiology; D010364:Pattern Recognition, Visual / Q000502:physiology; D011340:Problem Solving / Q000502:physiology; D011594:Psychometrics / Q000706:statistics & numerical data; D011596:Psychomotor Disorders / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology; D012680:Sensitivity and Specificity; D014706:Verbal Learning / Q000502:physiology