Objective: The present study further elucidates the possible sequelae of a cerebrovascular accident (CVA) which was not immediately addressed on reading, visual processing, and other cognitive abilities. Method: Participant is an 80-year-old female with a recent left hemispheric temporal CVA. Subject experienced a severe headache, but chose to take aspirins and go to sleep. Effects of delayed medical attention suggests a migrating CVA into the left posterior temporal lobe and into the occipital lobe resulting in right unilateral hemianopsia. Results: Participant was administered a full neuropsychological battery. Results of the testing suggest a diagnosis of probable major vascular neurocognitive disorder. Participant's performance on the Wechsler Adult Intelligence Scale-IV indicated weaknesses in perceptual reasoning and processing speed. Overall intelligence was noted to be in the borderline range. Personal strengths were in verbal comprehension and working memory. Performance on the Wide Range Achievement Test demonstrated word reading impairment, while reading comprehension remained...

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