Question Date: 31/07/2023
Question: 60 year old lady, diabetic had 2 strokes, there was progressive cognitive dysfunction after the stroke, however she would do all her activities of daily living independently. Her husband noticed that she is making mistakes while cooking at home. While making a sandwich she would bring chopped vegetables, cheese, bread correctly. But she would place two slices of bread, cut it, then put vegetables, and cut again. Her sequence of doing the task was incorrect. What is the most likely problem that she is suffering from?
Options:
Correct Answer: Ideational apraxia
Explaination: This patient?s main problem when making the sandwich was the correct sequencing of actions, and this impairment of action sequencing has been called ideational apraxia
Reference: Heilman, K. M. Upper Limb Apraxia. CONTINUUM: Lifelong Learning in Neurology 27, 1602 (2021).