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Neurology

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Mary GodmanMary Godman
Mary Godman

Visual Processing Assessments?

Hello All!


I have an adult patient who suffered a stroke that has reported issues with her visual processing and visual processing speed. She has completed the MVPT with pretty fair accuracy and had nothing out of the norm in her standard vision screen. The patient also has issues with motor planning/apraxia (attempted to tie her shoes by bringing her left hand to her left shoe and right hand to her right shoe but wasn't sure why she wasn't able to tie her shoes). Prior to her injury, she was a very successful business woman who lived a full life working and traveling.


Should further visual processing testing be done? If so, what assessments would you all recommend? I'm thinking we track her visual processing speeds and try to quicken her pace with a variety of activities.

Thanks everyone!

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Marga Grey
Marga Grey
Apr 08, 2025

Her attempt to tie her shoelaces reminds me of bilateral integration issues, which will impact motor planning and executive functioning. Do you know where the stroke lesion is? Bilateral integration exercises improve cross-lateral hemisphere communication - the corpus callosum is the main structure used. It may subsequently affect visual processing and visual perception - studies were done many years ago on patients post-hemispherectomy. It might be an option for a differential diagnosis or rehab strategies.

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