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A case study of locked-in-syndrome: psychological and personal perspectives.
[locked-in syndrome]
Although
patients
with
Locked-
In-
Syndrome
(
LIS
)
are
often
stated
to
have
normal
cognitive
functioning
,
the
few
reports
of
neuropsychological
assessment
in
these
cases
suggest
this
is
not
always
true
.
This
paper
(
a
)
reviews
published
reports
of
neuropsychological
assessments
of
LIS
patients
,
(
b
)
presents
a
detailed
neuropsychological
assessment
of
a
patient
to
determine
if
she
has
normal
cognitive
functioning
and
(
c
)
presents
the
views
of
the
patient
on
what
has
happened
to
her
.
An
in
-depth
single
case
report
assessing
the
cognitive
and
emotional
functioning
of
a
young
woman
with
LIS
plus
a
personal
account
from
the
patient
.
Detailed
assessments
were
carried
out
using
standardized
neuropsychological
tests
and
questionnaires
measuring
emotional
functioning
,
pain
and
quality-of-life
.
The
patient
also
states
her
views
of
what
happened
and
how
she
feels
.
On
most
tests
,
cognitive
functioning
was
average
or
above
,
but
some
impairments
were
found
(
consistent
with
published
literature
)
.
No
emotional
problems
were
detected
.
Quality
of
life
was
satisfactory
.
Pain
perception
was
normal
.
Although
LIS
patients
have
no
severe
cognitive
deficits
,
some
cognitive
difficulties
are
common
.
Despite
severe
physical
and
communication
problems
and
some
mild
cognitive
deficits
on
visual
reasoning
tasks
,
this
patient
feels
she
has
a
reasonable
quality-of-life
.
