Case Report

Hemianopia and Features of Bálint Syndrome following Occipital Lobe Hemorrhage: Identification and Patient Understanding Have Aided Functional Improvement Years after Onset

Table 1

Neuropsychology tests as reported (dates of assessments: A. 30.9.96, B. 16.1.1998).

Intelligence Wechsler Adult Intelligence Scale – Revised (WAIS -R)
  (Pre-accident: High average range)
 A. Not done
 B. Superior range of functioning
Reading Wide Range Achievement – Third Ed (WRAT-3) and SCOLP spot the Word subtest
 A. Low average (reading single words out loud)
 B. Slight improvement into the average range (reading single words)
Confrontation naming Boston Naming Test
 A. Low average range
 B. Average range
Speed of information processing SCOLP speed of compression subtest
 A. centile
 B. Improvement into the average range
Attentional and psychomotor skills WAIS-R Digit Symbol subtest and Trial Marking Test
 A. Speed of visual motor responding and visual scanning low average
 B. Slight improvement into the average range
Verbal memory abilities California verbal learning test
 A. Intact abilities in learning new verbal material preserved abilities in reading recently learned verbal material from long-term memory
 B. ‘No change’ reported
Visuospatial skills and visual memory abilities Rey complex figure test
 A. “Misplacement of detail”
 B. “Copied the design in piecemeal fashion as she was unable to see the entire figure at a glance”
Executive and problem-solving abilities Trail making test
 A. Slow speed of information processing
 B. Now has no problems alternating her attention between number and letter concepts under time pressure
Cognitive flexibility and problem-solving skills Wisconsin card sorting test (for conceptual flexibility, hypothesis formation, testing abilities,
skills in using feedback to modify problem-solving)
 A. Above average range
 B. Above average range

‘Inconsistent with WAIS-R test results’
The items underlined are indicative of persistent difficulties with visual information processing.