Post-traumatic Anton’s Syndrome and Its Rehabilitation Challenges: A Case Report

Objectives: Anton’s syndrome is a rare clinical phenomenon characterized by acquired cortical blindness without the self-awareness of blindness. Patients with this syndrome tend to deny their visual deficits. The literature on the rehabilitation of individuals with Anton’s syndrome is sparse. Methods: We describe a 26-year-old patient who developed Anton’s syndrome in the background of anterior visual tract damage and multiple intracranial bleedings after traumatic brain injury. He presented with visual agnosia and confabulations that were only detected 2 months after trauma. He received 4 months of multidisciplinary rehabilitation care as an outpatient. His comprehensive program consisted of (a) compensatory strategies, (b) restorative strategies, and (c) counseling sessions. Although he showed significant improvement in terms of functional gain with rehabilitation, he still had visual deficits with occasional visual anosognosia that required 24-h supervision. Conclusion: Anton’s syndrome in traumatic brain injury should not be overlooked. A prompt diagnosis is vital to initiate appropriate rehabilitation measures.

Download Full-text

Measuring Self-Awareness After Traumatic Brain Injury

PsycEXTRA Dataset ◽

10.1037/e332952004-010 ◽

2003 ◽

Author(s):

M. Sherer ◽

T. Hart ◽

T. G. Nick

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Self Awareness

Download Full-text

Impaired self-awareness after traumatic brain injury: a systematic review. Part 1: Assessment, clinical aspects and recovery

Annals of Physical and Rehabilitation Medicine ◽

10.1016/j.rehab.2020.101468 ◽

2021 ◽

Vol 64 (5) ◽

pp. 101468

Author(s):

Emilie Dromer ◽

Lyes Kheloufi ◽

Philippe Azouvi

Keyword(s):

Systematic Review ◽

Traumatic Brain Injury ◽

Brain Injury ◽

Clinical Aspects ◽

Self Awareness

Download Full-text

Acute White Matter Tract Damage after Frontal Mild Traumatic Brain Injury

Journal of Neurotrauma ◽

10.1089/neu.2016.4407 ◽

2017 ◽

Vol 34 (2) ◽

pp. 291-299 ◽

Cited By ~ 21

Author(s):

Juan J. Herrera ◽

Kurt Bockhorst ◽

Shakuntala Kondraganti ◽

Laura Stertz ◽

João Quevedo ◽

...

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

White Matter ◽

Mild Traumatic Brain Injury ◽

White Matter Tract ◽

Tract Damage

Download Full-text

Domain-specific deficits in self-awareness and relationship to psychosocial outcomes after severe traumatic brain injury

Disability and Rehabilitation ◽

10.1080/09638288.2018.1504993 ◽

2018 ◽

Vol 42 (5) ◽

pp. 651-659 ◽

Cited By ~ 3

Author(s):

Felicity G. Hurst ◽

Tamara Ownsworth ◽

Elizabeth Beadle ◽

David H. K. Shum ◽

Jennifer Fleming

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Severe Traumatic Brain Injury ◽

Psychosocial Outcomes ◽

Self Awareness ◽

Domain Specific

Download Full-text

Invited Commentary on Quality of Care Indicators for the Rehabilitation of Children With Traumatic Brain Injury, and Quality of Care Indicators for the Structure and Organization of Inpatient Rehabilitation Care of Children With Traumatic Brain Injury

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2011.11.016 ◽

2012 ◽

Vol 93 (3) ◽

pp. 394-395 ◽

Cited By ~ 7

Author(s):

John Whyte

Keyword(s):

Traumatic Brain Injury ◽

Quality Of Care ◽

Brain Injury ◽

Inpatient Rehabilitation ◽

Rehabilitation Care

Download Full-text

A delphi procedure on rehabilitation outcome for patients with moderate to severe traumatic brain injury; first phase of the Neurotraumatology Quality Registry (NET-QURE)

Journal of Rehabilitation Medicine ◽

10.2340/jrm.v53.760 ◽

2021 ◽

Author(s):

Lianne D. Peppel ◽

Majanka H. Heijenbrok-Kal ◽

Thomas A. Van Essen ◽

Godard C. W. De Ruiter ◽

Wilco C. Peul ◽

...

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Psychological Functioning ◽

International Classification Of Functioning ◽

Self Awareness ◽

Personal Factors ◽

Measurement Instruments ◽

Rehabilitation Outcome ◽

Quality Registry ◽

Delphi Procedure

Objective: To select a set of rehabilitation outcome instruments for a national Neurotrauma Quality Registry (Net-QuRe) among professionals involved in the care of patients with traumatic brain injury. Design: A 3-round online Delphi procedure. Subjects: Eighty professionals from multiple disciplines working in 1 of the 8 participating rehabilitation centres were invited to participate. The response rate varied from 70% to 76% per round. Methods: For the Delphi procedure, multiple outcome categories were defined based on the International Classification of Functioning, Disability and Health (ICF) with concomitant measurement instruments. For each category we strived for consensus on one instrument of at least 75%. Results: After the first round, consensus was reached for the category subjective cognitive functioning. After the second round for quality of life, pain, general functioning, anxiety and depression, general psychological functioning, communication (impairment), and personal factors. Finally, after the third round, consensus was reached for activities of daily living, participation, self-awareness, and aphasia. No consensus was reached for the categories motor function, cognitive function, comorbidity, fatigue, and employment status. Conclusion: Consensus was reached in 12 out of 17 outcome categories. A Delphi procedure seems to be a feasible method to collectively select measurement instruments for a multicentre study.

Download Full-text

Assessment of memory self-awareness following traumatic brain injury

Brain Injury ◽

10.3109/02699051003652815 ◽

2010 ◽

Vol 24 (4) ◽

pp. 598-608 ◽

Cited By ~ 8

Author(s):

Michelle Livengood ◽

Jonathan W. Anderson ◽

Maureen Schmitter-Edgecombe

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Self Awareness

Download Full-text

Collaborative Goal Setting: A Clinical Approach for Adults With Mild Traumatic Brain Injury

American Journal of Speech-Language Pathology ◽

10.1044/2021_ajslp-21-00078 ◽

2021 ◽

pp. 1-20

Author(s):

Jessica Brown ◽

Kristen Ackley ◽

Kelly Knollman-Porter

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Goal Setting ◽

Mild Traumatic Brain Injury ◽

Clinical Decision Making ◽

Clinical Decision ◽

Models Of Care ◽

Clinical Approach ◽

Self Awareness ◽

Clinical Resource

Purpose Speech-language pathologists (SLPs) have many available procedural options when setting treatment goals. Extant literature supports goal setting protocols that include and value the perspectives of the client; however, in practice, rehabilitation professionals may lean toward expert models of care when planning treatment. Our purpose is to describe a newly developed approach for SLPs and individuals with mild traumatic brain injury (mTBI) to work together to build meaningful, relevant goals. Method We utilized a multiple case study format to exemplify goal setting procedures. Specifically, we describe procedures and outcomes for a 29-year-old female 28 days postinjury and a 70-year-old male 9 months postinjury. Results Clients who engaged in this protocol worked collaboratively with a clinician to identify strengths and challenges postinjury, select and prioritize goal areas, and discuss and develop meaningful, personalized treatment activities. For both participants, use of the proposed protocol resulted in meaningful goals that addressed their self-reported deficits as well as their respective cognitive–linguistic deficits noted on objective, standardized measures. Conclusions Clinician and client collaboration during treatment goal development can facilitate increased client motivation and functional outcomes. The described approach is feasible from a clinical resource standpoint and promotes a systematic approach to placing the client at the forefront of clinical decision making to enhance therapeutic gains. Such client-centered approaches may be particularly valuable for individuals with mTBI who experience substantial cognitive and communicative challenges but may maintain high levels of self-awareness postinjury.

Download Full-text