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Unilateral spatial neglect

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https://www.readbyqxmd.com/read/29145178/minor-hemisphere-major-syndromes
#1
Antonio Carota, Julien Bogousslavsky
A right "minor hemisphere" does not exist as the right hemisphere is dominant for awareness (nosognosia), spatial attention, emotional regulation, facial and voice expressions, visual recognition, and topographical orientation. Without the right hemisphere, the world would be flat, deprived of general and spatial attentions, pointing preferentially to the right side of the space, lacking visual experiences and emotions, exhibiting diminished awareness of the self and environment. Clinical-related syndromes of the right hemisphere are unilateral spatial neglect, object and face visual agnosia, the anosognosia for hemiparesis and/or hemianopia, misidentification syndromes, mania, and other obsessions for the food and the body...
2018: Frontiers of Neurology and Neuroscience
https://www.readbyqxmd.com/read/29111838/exploring-barriers-and-facilitators-to-the-clinical-use-of-virtual-reality-for-post-stroke-unilateral-spatial-neglect-assessment
#2
Tatiana Ogourtsova, Philippe S Archambault, Anouk Lamontagne
BACKGROUND: Hemineglect, defined as a failure to attend to the contralesional side of space, is a prevalent and disabling post-stroke deficit. Conventional hemineglect assessments lack sensitivity as they contain mainly non-functional tasks performed in near-extrapersonal space, using static, two-dimensional methods. This is of concern given that hemineglect is a strong predictor for functional deterioration, limited post-stroke recovery, and difficulty in community reintegration. With the emerging field of virtual reality, several virtual tools have been proposed and have reported better sensitivity in neglect-related deficits detection than conventional methods...
November 7, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29097959/spanish-transcultural-adaptation-and-validity-of-the-behavioral-inattention-test
#3
Ángel Sánchez-Cabeza, Elisabet Huertas-Hoyas, Nuria Máximo-Bocanegra, Rosa María Martínez-Piédrola, Marta Pérez-de-Heredia-Torres, Jorge Alegre-Ayala
Objective: To adapt, validate, and translate the Behavioral Inattention Test as an assessment tool for Spanish individuals with unilateral spatial neglect. Design: A cross-sectional descriptive study. Setting: University laboratories. Participants: A sample of 75 Spanish stroke patients and 18 healthy control subjects. Interventions: Not applicable. Main Outcome Measures: The Behavioral Inattention Test...
2017: Occupational Therapy International
https://www.readbyqxmd.com/read/28980607/-metavestibular-disorders-and-disorders-of-higher-vestibular-function
#4
M V Zamergrad, O S Levin
Vertigo, instability, oscillopsia and concomitant autonomic disorders are classical and well-known symptoms of vestibular disorders. At the same time, recent studies suggest that there are more complicated vestibular dysfunctions caused by the cortical projections of the vestibular system. The central vestibular system includes parietal temporal cortex and insular, anterior intraparietal sulcus, posterior parietal and medial parts of the superior temporal gyrus, singular gyrus retrosplenial cortex, hippocampus and parahippocampal area...
2017: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://www.readbyqxmd.com/read/28980076/the-assessment-of-hemineglect-syndrome-with-cancellation-tasks-a-comparison-between-the-bells-test-and-the-apples-test
#5
Benedetta Basagni, Antonio De Tanti, Alessio Damora, Laura Abbruzzese, Valentina Varalta, Gabriella Antonucci, Wai Ling Bickerton, Nicola Smania, Mauro Mancuso
Unilateral spatial neglect (USN) is a frequent consequence of acquired brain injury, especially following right hemisphere damage. Traditionally, unilateral spatial neglect is assessed with cancellation tests such as the Bells test. Recently, a new cancellation test, the Apples test, has been proposed. The present study aims at comparing the accuracy of these two tests in detecting hemispatial neglect, on a sample of 56 right hemisphere stroke patients with a diagnosis of USN. In order to evaluate the agreement between the Apples and Bells tests, Cohen's kappa and McNemar's test were used to assess differences between the two methods of evaluation...
October 4, 2017: Neurological Sciences
https://www.readbyqxmd.com/read/28958616/effect-of-subtypes-of-neglect-on-functional-outcome-in-stroke-patients
#6
Simona Spaccavento, Fara Cellamare, Rosanna Falcone, Anna Loverre, Roberto Nardulli
OBJECTIVE: Because of the loss of autonomy in daily-life activities, spatial neglect after stroke is one of the main causes of disability. According to the spatial domains, neglect can be divided into personal (body), peripersonal (reaching) and extrapersonal (far) space. We evaluated the effect of these subtypes of neglect on functional outcome of rehabilitation in stroke patients. METHODS: A total of 1350 stroke patients were consecutively admitted into our neurorehabilitation unit from 2002 to 2016...
November 2017: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28937807/use-of-virtual-reality-in-improving-poststroke-neglect-promising-neuropsychological-and-neurophysiological-findings-from-a-case-study
#7
Rosaria De Luca, Viviana Lo Buono, Antonino Leo, Margherita Russo, Bianca Aragona, Simona Leonardi, Antonio Buda, Antonino Naro, Rocco Salvatore Calabrò
After experiencing a stroke in the right hemisphere, almost 50% of patients show unilateral spatial neglect (USN). Virtual Reality technologies offer impressive opportunities for both the rehabilitation and assessment of different cognitive deficits, including USN. A 57-year-old woman, affected by subarachnoid hemorrhage presented a severe left hemiparesis with severe cognitive and behavioral alterations, including temporal and spatial disorientation, reduction of attention and memory process, slowing ideation, USN, and depression of mood...
September 22, 2017: Applied Neuropsychology. Adult
https://www.readbyqxmd.com/read/28843415/complexity-vs-unity-in-unilateral-spatial-neglect
#8
REVIEW
G Rode, M Fourtassi, C Pagliari, L Pisella, Y Rossetti
Unilateral spatial neglect constitutes a heterogeneous syndrome characterized by two main entangled components: a contralesional bias of spatial attention orientation; and impaired building and/or exploration of mental representations of space. These two components are present in different subtypes of unilateral spatial neglect (visual, auditory, somatosensory, motor, allocentric, egocentric, personal, representational and productive manifestations). Detailed anatomical and clinical analyses of these conditions and their underlying disorders show the complexity of spatial cognitive deficits and the difficulty of proposing just one explanation...
August 23, 2017: Revue Neurologique
https://www.readbyqxmd.com/read/28813816/computational-rehabilitation-of-neglect-using-state-space-models-to-understand-the-recovery-mechanisms
#9
Giulia Sedda, Marcella Ottonello, Elena Fiabane, Caterina Pistarini, Anna Sedda, Vittorio Sanguineti
Unilateral spatial neglect is a neuropsychological syndrome often observed in right hemisphere stroke patients. The symptoms differ from subject to subject. A few rehabilitation approaches, e.g. prism adaptation, have demonstrated some effect in reducing the symptoms, but the underlying mechanisms are still largely unclear. Recently, neural models have been proposed to qualitatively describe cortical lesions, the resulting neglect symptoms and the effects of treatment. However, these predictions are qualitative and cannot be used to compare different hypotheses or to interpret symptoms at individual subjects level...
July 2017: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
https://www.readbyqxmd.com/read/28812421/right-hemispatial-ipsilesional-neglect-with-chronic-right-hemisphere-strokes
#10
John B Williamson, Damon G Lamb, D Brandon Burtis, Salsabil Haque, Eduardo M Zilli, Tigran Kesayan, Michal Harciarek, Kenneth M Heilman
BACKGROUND: Patients who present with spatial neglect after stroke often perform normally on tests for neglect after a few weeks. Whereas tests for neglect are often performed directly in front of a patient, in their actual environments many important stimuli may be present within their left or right hemispace. The presence and severity of neglect often depends on the hemisphere injured. It is possible, in chronic stroke, for spatial judgments to be influenced by an interaction of stroke laterality and the spatial location of stimuli...
August 16, 2017: Journal of Clinical and Experimental Neuropsychology
https://www.readbyqxmd.com/read/28716250/white-matter-lesions-and-cognitive-impairment-may-be-related-to-recovery-from-unilateral-spatial-neglect-after-stroke
#11
Chisako Köder Kamakura, Yuji Ueno, Yuzuru Sakai, Hisao Yoshida, Saiko Aiba, Akito Hayashi, Hideki Shimura, Katsuhiko Takeda, Keiko Kamakura, Nobutaka Hattori, Takao Urabe
BACKGROUND: Unilateral spatial neglect (USN) is frequently found in ischemic stroke patients. Because USN is related to poor functional outcomes, evaluating recovery from USN after stroke is critical. METHODS: Patients with acute ischemic stroke with lesions in the right cerebral hemisphere on MRI and exhibiting left USN were administered the Behavior Inattention Test (BIT) at 1 and 3weeks after admission. BIT improvement was defined as a ≥1-point increase in ≥4 of the 6 BIT subtests from 1 to 3weeks, or a total BIT score ≥131 at 3weeks...
August 15, 2017: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/28701101/validation-of-an-immersive-virtual-reality-system-for-training-near-and-far-space-neglect-in-individuals-with-stroke-a-pilot-study
#12
Kazuhiro Yasuda, Daisuke Muroi, Masahiro Ohira, Hiroyasu Iwata
BACKGROUND: Unilateral spatial neglect (USN) is defined as impaired ability to attend and see on one side, and when present, it interferes seriously with daily life. These symptoms can exist for near and far spaces combined or independently, and it is important to provide effective intervention for near and far space neglect. OBJECTIVE: The purpose of this pilot study was to propose an immersive virtual reality (VR) rehabilitation program using a head-mounted display that is able to train both near and far space neglect, and to validate the immediate effect of the VR program in both near and far space neglect...
July 12, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28612547/-treatment-of-unilateral-neglect-using-repetitive-transcranial-magnetic-stimulation-rtms-and-sensory-cueing-sc-in-stroke-patients
#13
Ren-Gang Zhang, Sha-Xin Liu, Feng-Yi Wang, Xi-Chao Ma, Yong-Hong Yang
OBJECTIVES: To evaluate the effectiveness of repetitive transcranial magnetic stimulation (rTMS) and sensory cueing (SC) for improving hemi-spatial attention deficits related to unilateral neglect, upper limb function and independence of stroke patients. METHODS: An assessor-blinded randomized controlled trial (RCT) was conducted. Eligible stroke patients were treated with rTMS (n =17) or rTMS combined with SC (n =16) in addition to conventional rehabilitation measures...
March 2017: Sichuan da Xue Xue Bao. Yi Xue Ban, Journal of Sichuan University. Medical Science Edition
https://www.readbyqxmd.com/read/28602998/the-right-hemisphere-is-independent-from-the-left-hemisphere-in-allocating-visuospatial-attention
#14
Arianna Zuanazzi, Luigi Cattaneo
The capacity to allocate visuospatial attention is traditionally considered right-lateralized according to the effects of unilateral cerebral lesions. Contralateral hemi-spatial neglect occurs much more frequently after lesions of the right hemisphere, which has therefore been dubbed as 'dominant'. This pattern of symptoms is supported by functional models that postulate either independence or reciprocal influences between the two hemispheres. Here we specifically explored the dependency of the right hemisphere (RH) from the left hemisphere (LH) in spatial attention...
June 9, 2017: Neuropsychologia
https://www.readbyqxmd.com/read/28533085/return-to-drive-after-non-evolutive-brain-damage-french-recommendations
#15
REVIEW
Anne-Claire D'apolito, Jean-Luc Leguiet, Michel Enjalbert, Francis Lemoine, Jean-Michel Mazaux
Return to drive after brain damage is a crucial question either for patients than health professionals. The Société française de medicine physique et de réadaptation (SOFMER) and Comète France association developed recommandations for patient's identification, evaluation and accompaniment as part of their project to resume to drive. The place of rehabilitation process and patient's focus has been also discussed. AIMS: Using a literature review, the aim was to define clinical pathways to determine people who need a fitness to drive evaluation after a non-evolutive brain damage as well as the assessment process...
July 2017: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28429801/the-dizzy-patient-don-t-forget-disorders-of-the-central-vestibular-system
#16
REVIEW
Thomas Brandt, Marianne Dieterich
Vertigo and dizziness are among the most common complaints in neurology clinics, and they account for about 13% of the patients entering emergency units. In this Review, we focus on central vestibular disorders, which are mostly attributable to acute unilateral lesions of the bilateral vestibular circuitry in the brain. In a tertiary interdisciplinary outpatient dizziness unit, central vestibular disorders, including vestibular migraine, comprise about 25% of the established diagnoses. The signs and symptoms of these disorders can mimic those of peripheral vestibular disorders with sustained rotational vertigo...
June 2017: Nature Reviews. Neurology
https://www.readbyqxmd.com/read/28358553/shifts-of-spatial-attention-underlie-numerical-comparison-and-mental-arithmetic-evidence-from-a-patient-with-right-unilateral-neglect
#17
Nicolas Masson, Mauro Pesenti, Françoise Coyette, Michael Andres, Valérie Dormal
OBJECTIVES: Recent findings suggest that mental arithmetic involves shifting attention on a mental continuum in which numbers would be ordered from left to right, from small to large numbers, with addition and subtraction causing rightward or leftward shifts, respectively. Neuropsychological data showing that brain-damaged patients with left neglect experience difficulties in solving subtraction but not addition problems support this hypothesis. However, the reverse dissociation is needed to establish the causal role of spatial attention in mental arithmetic...
October 2017: Neuropsychology
https://www.readbyqxmd.com/read/28242798/visuospatial-asymmetries-arise-from-differences-in-the-onset-time-of-perceptual-evidence-accumulation
#18
Daniel P Newman, Gerard M Loughnane, Simon P Kelly, Redmond G O'Connell, Mark A Bellgrove
Healthy subjects tend to exhibit a bias of visual attention whereby left hemifield stimuli are processed more quickly and accurately than stimuli appearing in the right hemifield. It has long been held that this phenomenon arises from the dominant role of the right cerebral hemisphere in regulating attention. However, methods that would enable more precise understanding of the mechanisms underpinning visuospatial bias have remained elusive. We sought to finely trace the temporal evolution of spatial biases by leveraging a novel bilateral dot motion detection paradigm...
March 22, 2017: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/28190682/perception-of-active-head-rotation-in-patients-with-severe-left-unilateral-spatial-neglect
#19
Shinobu Kaibe, Manabu Okita, Hideto Kaba
Unilateral spatial neglect is a common neurological syndrome following predominantly right hemisphere damage, and is characterized by a failure to perceive and report stimuli in the contralesional side of space. To test the reference shift hypothesis that contralesional spatial neglect in right-brain-damaged patients is attributed to a rightward deviation of the egocentric reference frame, we measured the final angular position to which controls and left-side neglect patients actively turned their head toward the left in response to a verbal instruction given from each of three locations-right, left, and front-in two conditions, with and without visual feedback...
July 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/28130656/patients-characteristics-and-outcomes-depending-on-complete-or-incomplete-unilateral-spatial-neglect
#20
Junko Watanabe, Toshiyasu Ogata, Masani Nonaka, Mitsutoshi Iwaasa, Etsuji Shiota, Tooru Inoue
Unilateral spatial neglect (USN) is known to depress the activities of daily living. The purpose of this study was to clarify that categorizing the type of USN using line cancelation and line bisection tests is important when evaluating patients with acute intracerebral hemorrhage (ICH). In this study, patients with ICH were prospectively evaluated for the presence of USN using line cancelation and line bisection tests. They were classified into an incomplete USN group (iUSN = abnormal results in either test) or a complete USN group (cUSN = abnormal findings in both tests)...
October 2017: Neurosurgical Review
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