Location
LSU Health Science Center - New Orleans
Event Website
https://alliedhealth.lsuhsc.edu/admin/sahpresearchday.aspx
Document Type
Event
Start Date
8-4-2024 3:00 PM
End Date
8-4-2024 5:00 PM
Description
Introduction: Anterior cerebral artery (ACA) infarcts are far less prevalent than other stroke presentations due to complex collateral blood supply in the region. Patients with a stroke affecting the ACA often have poorer outcomes due to frontal lobe involvement and a lack of evidence regarding therapeutic interventions in the acute phase.
Purpose: The purpose of this case report is to assess functional outcomes and meaningful changes in executive function in a 67-year-old male following ischemic ACA infarct.
Methods: Retrospective case study assessing functional outcomes following an inpatient rehabilitation stay. Interventions chosen on a priority basis: 1) does it facilitate education, training, or carryover of QI-specific tasks, 2) does it target an item on the problem list that is directly limiting progress, or 3) does it help the patient, family, or caregiver facilitate a safe return home.
Results: This patient was dependent (01) for gait on level surfaces at 10’ and 50’ with two turns, a 1-step curb, and ascending/descending 4 steps. He required substantial/max assistance (02) for a car transfer, picking up an object from the floor, and wheelchair propulsion 150’. Finally, he propelled the wheelchair 50’ with two turns with supervision (04) and was scored at 88 for all remaining tasks, unsafe to attempt. At discharge, he was grossly independent for simple tasks and partial/moderate assistance for difficult tasks.
Discussion: Although ACA strokes are often complex, through intensive rehab at an inpatient rehab facility, functional outcomes can be as good or better than other stroke syndromes.
Recommended Citation
Brogden, Justin, "Functional Outcomes Following ACA Stroke: A Case Report" (2024). School of Allied Health Professions Research Day. 11.
https://digitalscholar.lsuhsc.edu/ahrd/2024/2024/11
Included in
Functional Outcomes Following ACA Stroke: A Case Report
LSU Health Science Center - New Orleans
Introduction: Anterior cerebral artery (ACA) infarcts are far less prevalent than other stroke presentations due to complex collateral blood supply in the region. Patients with a stroke affecting the ACA often have poorer outcomes due to frontal lobe involvement and a lack of evidence regarding therapeutic interventions in the acute phase.
Purpose: The purpose of this case report is to assess functional outcomes and meaningful changes in executive function in a 67-year-old male following ischemic ACA infarct.
Methods: Retrospective case study assessing functional outcomes following an inpatient rehabilitation stay. Interventions chosen on a priority basis: 1) does it facilitate education, training, or carryover of QI-specific tasks, 2) does it target an item on the problem list that is directly limiting progress, or 3) does it help the patient, family, or caregiver facilitate a safe return home.
Results: This patient was dependent (01) for gait on level surfaces at 10’ and 50’ with two turns, a 1-step curb, and ascending/descending 4 steps. He required substantial/max assistance (02) for a car transfer, picking up an object from the floor, and wheelchair propulsion 150’. Finally, he propelled the wheelchair 50’ with two turns with supervision (04) and was scored at 88 for all remaining tasks, unsafe to attempt. At discharge, he was grossly independent for simple tasks and partial/moderate assistance for difficult tasks.
Discussion: Although ACA strokes are often complex, through intensive rehab at an inpatient rehab facility, functional outcomes can be as good or better than other stroke syndromes.
https://digitalscholar.lsuhsc.edu/ahrd/2024/2024/11