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Underdiagnosis of Unilateral Spatial Neglect in stroke unit
- Source :
- Acta neurologica Scandinavica. 138(5)
- Publication Year :
- 2018
-
Abstract
- Objectives Unilateral spatial neglect (USN) is the incapacity to respond to stimuli presented opposite to a dysfunctional cerebral hemisphere. It is usually caused by non-dominant hemisphere lesions, leads to poorer prognosis and might be underdiagnosed. The objectives of the study were to ascertain the presence of USN in acute stroke patients and analyze the possible degree of underdiagnosis in a Stroke Unit. Materials and methods Prospective study of consecutive non-dominant hemisphere stroke patients within a period of 21 months. "Line Bisection" and "Triangles Cancellation" tests were used for USN screening and "Circle Gap Detection Task" to confirm the USN. The results were compared with routine Stroke Unit assessment using the NIHSS to determine the possible degree of underdiagnosis. Results A total of 62 subjects, 38 women (61.29%), mean age of 74.05 (SD 10.5) years, were included. USN was diagnosed in 25 cases (40.3%) but 56% of them were not detected in routine evaluation using the NIHSS. Conclusions Unilateral spatial neglect, a common cognitive deficit after acute stroke, is greatly underdiagnosed in routine Stroke Unit assessment. The use of simple USN-specific screening tools would improve diagnosis and therefore the possibility of implementing appropriate rehabilitation strategies.
- Subjects :
- Adult
Male
medicine.medical_specialty
Stroke patient
medicine.medical_treatment
Dysfunctional family
Neuropsychological Tests
050105 experimental psychology
Functional Laterality
Perceptual Disorders
03 medical and health sciences
0302 clinical medicine
Physical medicine and rehabilitation
Medicine
Humans
0501 psychology and cognitive sciences
Prospective Studies
Prospective cohort study
Stroke
Cognitive deficit
Aged
Unilateral spatial neglect
Rehabilitation
business.industry
05 social sciences
General Medicine
Middle Aged
medicine.disease
Neurology
Cerebral hemisphere
Female
Neurology (clinical)
medicine.symptom
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 16000404
- Volume :
- 138
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Acta neurologica Scandinavica
- Accession number :
- edsair.doi.dedup.....cfc1931aef86480c995d9a3446c56e65