2017 Volume 33 Issue 4 Pages 555-559
A 69–year–old female experienced higher brain dysfunction, including impaired visuospatial and constructional function and disorientation, 2 years after the onset of Parkinson's disease (PD). After 4 weeks of cognitive rehabilitation (CR), rivastigmine patch therapy was administered along with CR for an additional 4 weeks. After the initial 4 weeks of CR, her attention/executive function and visuospatial and constructional function were improved，as evidenced by her trail making test – B score and her ability to capture the size of three–dimensional objects measured by the behavioural inattention test (BIT). After the full 8 weeks of treatment, including rivastigmine, her visuospatial and constructional function were further improved along with the ability to capture shapes, as measured by BIT and the Alzheimer's Disease Assessment Scale. We concluded that an improvement in attention/executive function achieved by the CR along with the additional improvement in visuospatial and constructional function achieved through the addition of rivastigmine patch therapy led to an improvement in activities of daily living.
