A presumptive association between obsessive compulsions and asymmetric temporal lobe atrophy: a case report

Table 1 Neuropsychological assessment

Test or inventory	2010	Range	Normal^a
Clinical dementia rating	0.5	0–5	0
Behav^b	2	0–3	0
Lang	1.5	0–3	0
Mini-Mental State Exam
Total score	26	0–30	≥ 26
Temporal orientation	5	0–5	≥ 4
Geographic orientation	5	0–5	≥ 4
Registration	3	0–3	3
Attention and calculation	4	0–5	≥ 4
Recall	0	0–3	3
Naming	2	0–2	2
Repetition	1	0–1	1
Execution of written command	1	0–1	1
Sentence writing	1	0–1	1
Copy design	1	0–1	1
Three-stage command	3	0–3	3
Visual naming (15 objects)	8	0–15	≥ 14
Multilingual aphasia examination
Visual naming	20	0–60
Aural comprehension	14	0–18
Reading comprehension	14	0–18
Pyramids and palm trees	34	0–52	≥ 46
Wisconsin Card Sorting Test
Categories completed	04	0–6	≥ 4
Perseverative errors	22	0–127	≤ 65
Common (nonperseverative) errors	21	0–128	≤ 33
Total errors	43	0–128	≤ 85
Set failures	02	0–21	≤ 02
3D block construction
Total score	28	0–29	≥ 24
Model I	06	0–6	06
Model II	08	0–8	≥ 05
Model III	14	0–15	≥ 11
Total time (in seconds)	178	0–∞	≤ 475
Enhanced cued recall
Immediate recall
Total (free + cued)	28	0–48	48
Free	15	0–48	≥ 29
Cued	13	0–48	≤ 05
Delayed recall (45 minutes)
Total (free + cued)	9	0–16	16
Free	1	0–16	≥ 10
Cued	8	0–16	≤ 06
Right–left orientation
Own body	12	0–12	≥ 11
Examiner’s body	07	0–8	≥ 7
Line bisection L^c	0.03	0–100	Between −10 and 7
Line bisection C	−0.05	0–100	Between −6 and 8
Line bisection R	0.03	0–100	Between −7 and 12

See Additional file 1 for description of the neuropsychological assessment.
Abnormal results are in bold type.
^aNormative data computed from the idor Normative Data Bank using the N = 1 statistics [11]
^bbehav and lang correspond, respectively, to the added domains of behavior and language to the standard Clinical Dementia Rating [12]
^cScores on the Line Bisection Test were computed as the percent deviation of lines on the left, center, and right third of the page. Each third contains six lines with lengths ranging from 10 to 20 cm [13]

ISSN: 1752-1947