Abstract
A patient with multiple cerebral infarctions along with vertebrobasilar artery occlusion involving the thalamus, hypothalamus, midbrain, and cerebellum on both sides and the parietal and occipital lobes on the right side received occupational therapy. The patient exhibited various symptoms, such as conscious disturbance, ataxia, and rapid body movements with strong muscle contractions in the sitting position at rest. Ten days after onset, the patient's alertness rapidly improved and spontaneous movements were gradually observed. However, 21 days after onset, the patient became apathetic. Occupational therapy interventions struggled to cope with changes in the patient's various symptoms mentioned above. Among the occupational therapy interventions, an activity related to the patient's hobby as an intervention for apathy was the only activity that the patient voluntarily performed.
