{"id":4606,"date":"2022-05-09T16:16:44","date_gmt":"2022-05-09T14:16:44","guid":{"rendered":"https:\/\/itsbrain.mindpulse.net\/?page_id=4606"},"modified":"2022-05-09T16:44:04","modified_gmt":"2022-05-09T14:44:04","slug":"cas-ait","status":"publish","type":"page","link":"https:\/\/itsbrain.mindpulse.net\/en\/cas-ait\/","title":{"rendered":"Cas AIT"},"content":{"rendered":"

[et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb||0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.17.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bb|600||on|||||\u00a0\u00bb text_text_color=\u00a0\u00bb#151E66″ text_font_size=\u00a0\u00bb35px\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Clinical case : Mrs. I, 53 years old, TIA<\/p>\n

[\/et_pb_text][et_pb_text _builder_version=\u00a0\u00bb4.17.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bb|600|||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#151E66″ text_font_size=\u00a0\u00bb17px\u00a0\u00bb text_line_height=\u00a0\u00bb1.72em\u00a0\u00bb text_orientation=\u00a0\u00bbjustified\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Context<\/span> :\u00a0<\/span><\/strong><\/span>Mrs. I, aged 53, was the victim of a suspected TIA 6 years ago, nothing showed up in the imagerie, however the clinical symptoms were apparent. Since then, she had strong attentional and executive complaints and had to significantly modify her professional activity as a result (reduced working time and professional reclassification). Despite this, she expressed severe fatigue and a feeling of being overwhelmed in her daily life.<\/span><\/p>\n

Mrs. I has a high level of education, has no thymic disturbances, sleep disorders nor history apart from this TIA episode. <\/span><\/p>\n

[\/et_pb_text][et_pb_text _builder_version=\u00a0\u00bb4.17.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bb|300|||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#151E66″ text_orientation=\u00a0\u00bbjustified\u00a0\u00bb width=\u00a0\u00bb100%\u00a0\u00bb custom_margin=\u00a0\u00bb0px|60px|||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb|18px|21px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Mrs. I is an excellent contact, but shows an alarming fatigue. It is necessary to take many breaks, she makes colossal efforts to maintain her attention and stay mobilized effectively on the various events. Mrs. I implement excellent compensation strategies, but they are very costly to her. We note her perseverances, difficulties of flexibility, which are found punctually throughout the results.<\/span><\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb3_5,2_5″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb40px|||||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb3_5″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/itsbrain.mindpulse.net\/wp-content\/uploads\/2022\/05\/casAIT1.png\u00a0\u00bb title_text=\u00a0\u00bbcasAIT1″ _builder_version=\u00a0\u00bb4.17.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb81%\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb custom_margin=\u00a0\u00bb10px||||false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_5″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.17.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bb|300|||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#151E66″ text_orientation=\u00a0\u00bbjustified\u00a0\u00bb width=\u00a0\u00bb100%\u00a0\u00bb custom_margin=\u00a0\u00bb0px|||-20px|false|false\u00a0\u00bb custom_padding=\u00a0\u00bb|18px|21px|||\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset4″ box_shadow_color=\u00a0\u00bb#88B0D2″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

WAIS-IV\u00a0<\/strong> : it highlights a heterogeneous quality of functioning, ranging from the upper\/very upper zone for the verbal comprehension index (VCI) to the low average for the working memory index (WMI). The patient presents an excellent level of functioning with however a fragility in working memory which seems mainly related to attentional and executive difficulties during the passing of the tests. Although within the norm, this area contrasts drastically with the rest of Ms. I's performance, and highlights an atypicality in these specific functions.<\/span><\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_2,1_2″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb39px|||||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.17.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bb|300|||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#151E66″ text_orientation=\u00a0\u00bbjustified\u00a0\u00bb width=\u00a0\u00bb79%\u00a0\u00bb custom_margin=\u00a0\u00bb0px|||120px|false|false\u00a0\u00bb custom_padding=\u00a0\u00bb|18px|21px|||\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset4″ box_shadow_color=\u00a0\u00bb#88B0D2″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Test FEA\u00a0\u00a0<\/strong> : The classic tools used in neuropsychology (Stroop, D2-r; PASAT; commission test, verbal fluences, etc.) were used to evaluate Mrs. I's executive functioning. However, her performance remains average apart from some exceptions, despite difficulties that appear evident in the analysis and clinical observation. <\/span><\/p>\n

Mrs. I is exhausted at the end of each test from the extreme concentration. She works with all her might to provide a cognitive effort and compensate for her difficulties, which is effective from a psychometric point of view, but cannot be sustained over time or in her daily life. This effort is atypical, especially given the intellectual level of Mrs I, and contrasts with her previous functioning which is not found psychometrically in these tests.<\/span><\/p>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/itsbrain.mindpulse.net\/wp-content\/uploads\/2022\/05\/casAIT2.png\u00a0\u00bb title_text=\u00a0\u00bbcasAIT2″ align=\u00a0\u00bbright\u00a0\u00bb _builder_version=\u00a0\u00bb4.17.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb95%\u00a0\u00bb module_alignment=\u00a0\u00bbright\u00a0\u00bb custom_margin=\u00a0\u00bb||||false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_2,1_2″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb39px||0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/itsbrain.mindpulse.net\/wp-content\/uploads\/2022\/05\/casAIT3.png\u00a0\u00bb title_text=\u00a0\u00bbcasAIT3″ _builder_version=\u00a0\u00bb4.17.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb100%\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/itsbrain.mindpulse.net\/wp-content\/uploads\/2022\/05\/casAIT4.png\u00a0\u00bb title_text=\u00a0\u00bbcasAIT4″ _builder_version=\u00a0\u00bb4.17.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb86%\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb custom_margin=\u00a0\u00bb60px||||false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_2,1_2″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb27px||0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.17.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bb|300|||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#151E66″ text_orientation=\u00a0\u00bbjustified\u00a0\u00bb custom_margin=\u00a0\u00bb40px||||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb|18px|21px|||\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset4″ box_shadow_color=\u00a0\u00bb#88B0D2″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

MindPulse <\/span><\/strong>highlighted a particularly fast perceptual motor speed <\/strong> in Mrs I (TRS: z=-1.24), without slowing down of executive speed (z=-0.20) which appears to be average. On the other hand, Mrs I made too many errors, which therefore remain borderline (z=1.43), with an adjustment to the difficulty highlighting an over-slowdown in this patient, which is generally observed in anxious patients (RD : z=1.60).<\/p>\n

The executive and attentional balance<\/strong> appears disturbed, with an alteration of vigilance, which results in an atypical number of aberrant responses (z=1.20) and a high attentional variability during the different tests (z=1.93) highlights the difficulty for Mrs I to maintain a constant level of attention over time. Executive control also appears <\/strong> Executive control also appears to be altered as a whole, with a very particular impairment of inhibition with strong impulsivity (z=1.75) which is highlighted via anticipated responses at the start of each test.<\/p>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image title_text=\u00a0\u00bbcasAIT5″ _builder_version=\u00a0\u00bb4.17.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb100%\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb src=\u00a0\u00bbhttps:\/\/itsbrain.mindpulse.net\/wp-content\/uploads\/2022\/05\/casAIT5.png\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.17.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bb|600|||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#151E66″ text_font_size=\u00a0\u00bb17px\u00a0\u00bb text_line_height=\u00a0\u00bb1.72em\u00a0\u00bb text_orientation=\u00a0\u00bbjustified\u00a0\u00bb custom_margin=\u00a0\u00bb21px|||||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Conclusion<\/span> :\u00a0<\/span><\/strong><\/span>Mrs. I presents an excellent quality cognitive functioning with a verbal overinvestment which appears in that zone which is much higher than the average patient who presents a fragility in working memory (which remains in the low average). The difference observed is very significant of a more general executive fragility, which is difficult to observe through the insensitive tests traditionally used in Neuropsychology.<\/p>\n

Indeed, Mrs. I presents an alteration of the general executive control which however appears moderate compared to the reference population. But she is very much out of step with her capacities elsewhere, which perfectly illustrates the complaint and the feeling of slowing down and difficulty of this patient on a daily basis as well as in her work. A very significant fatigability is also observed with significant overflow and saturation effects. The patient is quite capable of mobilizing and providing satisfactory performance, but at the cost of an atypically high effort that she cannot maintain over time and whose repercussions persist over time.<\/p>\n

The MindPulse makes it possible here to objectify, quantify and qualitatively characterize Mrs I's complaint by going in the direction of the clinical observations made during the evaluation, where the usual tools did not make it possible to highlight any disturbance given the Mrs. I's high level of past functioning and her excellent compensation strategies.<\/span><\/p>\n

Moreover, it is also the only tool to characterize the dynamic balance between executive and attentional functions by including a measure of reaction to difficulty.<\/span><\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>","protected":false},"excerpt":{"rendered":"

Cas Clinique : Madame I, 53 ans, AITContexte de l\u2019\u00e9valuation :\u00a0Mme I, \u00e2g\u00e9e de 53 ans, a \u00e9t\u00e9 victime d\u2019une suspicion d\u2019AIT il y a 6 ans, n\u2019ayant pas pu \u00eatre objectiv\u00e9 \u00e0 l\u2019imagerie, malgr\u00e9 les signes cliniques sans ambigu\u00eft\u00e9. Elle pr\u00e9sente depuis une forte plaine attentionnelle et ex\u00e9cutive et a d\u00fb modifier significativement son […]<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-4606","page","type-page","status-publish","hentry"],"yoast_head":"\nCas AIT - itsbrain<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/itsbrain.mindpulse.net\/en\/cas-ait\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cas AIT - itsbrain\" \/>\n<meta property=\"og:description\" content=\"Cas Clinique : Madame I, 53 ans, AITContexte de l\u2019\u00e9valuation :\u00a0Mme I, \u00e2g\u00e9e de 53 ans, a \u00e9t\u00e9 victime d\u2019une suspicion d\u2019AIT il y a 6 ans, n\u2019ayant pas pu \u00eatre objectiv\u00e9 \u00e0 l\u2019imagerie, malgr\u00e9 les signes cliniques sans ambigu\u00eft\u00e9. 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