Hoorcollege 1
- Neurologische aandoening: beroerte, tumor, traumatisch hersenletsel etc.
- Psychiatrische stoornissen: schizofrenie, bipolaire stoornis etc.
- Ontwikkelingsstoornissen: dyslexie, ADHD, autisme etc.
- Veroudering en dementie
- Anamnese en heteroanamnese
- Vraagstelling en hypothesevorming
- Testselectie en testafname
- Observatie
- Interpretatie
- Schriftelijke en mondelinge rapportage
- Vraagstelling: Het doel is om het cognitief functioneren in kaart te brengen voor monitoring tijdens een wakkere resectie van de tumor. Dit leidt tot de vraag "Is er een valide baseline voor monitoring tijdens de operatie?”
- Hypothesen: Over welke cognitieve functies aangedaan zijn bvb visuoperpceptie-, taal-, geheugen-, aandachtsproblemen. Middels (hetero-)amanese, NPO, observatie kan dit worden aangepast op de patiënt. Casus had moeite met douchen, woordvindproblemen, preservatie (doorzetting), begrip van testinstructies etc
- Test: patiënt had problemen met de volgende zaken
- Conclusie: Uit het NPO komt vooral de taalstoornis naar voren zowel taalbegrip als taalproductie lukken niet zo goed meer. Ook zijn er stoornissen in de fijne motoriek van de rechterhand, proprioceptie van rechts, de praxis en de visuoconstructie. Het (non-verbaal) geheugen is intact en er is sprake van ziektebesef en (gedeeltelijk) ziekte-inzicht. Het was aan de hand van de tests mogelijk om de geplande wakkere RIP links pariëtaal uit te voeren met deze patiënt.
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