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Title: Evaluación e intervención neuropsicológica en un caso de Atrofia Multisistémica
Author: Solovieva Lukina, Elena
Tutor: Gómez, M. Almudena
Keywords: multisystem atrophy
cognitive alterations
neuropsychological intervention
Issue Date: Jun-2022
Publisher: Universitat Oberta de Catalunya (UOC)
Abstract: The following work presents the fictitious case of M, a 71-year-old woman in an elderly residence who is diagnosed with Multiple Systemic Atrophy (MSA). This neurodegenerative disorder is classified within the atypical parkinsonisms. It is believed to be caused by abnormal deposits of α-synuclein in some brain structures, leading to olivopontocerebellar atrophy and striatonigral degeneration. Its main symptoms include dysautonomia, parkinsonism and cerebellar dysfunction, and it is classified depending on whether there is a predominance of parkinsonian symptoms (MSA-P) or a predominance of cerebellar symptoms (MSA-C). Traditionally, the presence of cognitive impairment has been considered an exclusion criterion for the diagnosis of MSA. However, in recent decades evidence has come to light that not only are cognitive impairment compatible in patients with MSA, but a characteristic neuropsychological profile has been established. The neuropsychological evaluation that was carried out reveals alterations in temporal orientation, complex attention, short-term verbal memory and executive functions. Observed neuropsychiatric symptoms are a state of anxiety and behavioral alterations. Being a neurodegenerative disorder, the objective of the intervention has been to maintain and preserve cognitive function and improve the emotional and behavioral state of the patient. For this, a six-month neuropsychological intervention has been designed including individual and group cognitive stimulation, and individual emotional and behavioral therapy. This intervention is expected to slow down the progress of the cognitive impairment and improve the quality of life by reducing behavioral alterations and anxiety.
Language: Spanish
Appears in Collections:Bachelor thesis, research projects, etc.

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