Rehabilitation of Right Hemisphere Disorder in the Chronic Phase of Recovery
High-quality studies to direct treatment for cognitive-communication deficits associated with right hemisphere deficits are limited, likely related to the broad heterogeneity of this patient population. Theories and treatment approaches from other neurogenic populations can be employed, however, to guide rehabilitation.
CP was a 48-year-old woman with a history of diabetes mellitus and hypertension who presented with left-sided weakness and facial droop after decreased responsiveness at the dinner table. Computed tomography (CT) of the brain revealed an infarct of the right middle cerebral artery (MCA) distribution. CP reported that she “lost her filter” and the ability to “organize her life.” Close relatives and friends reported that CP frequently made inappropriate comments and did not allow them to participate in conversations. CP lived independently with her two daughters, aged 13 and 9 years. She had a graduate degree and worked as an administrator for a health care insurance company where she supervised eight employees. CP sought treatment for residual executive functioning deficits, and expressed a desire to reengage in community and occupational activities.