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Article Dans Une Revue Neurology Année : 2004

Right spatial neglect after left hemisphere stroke: qualitative and quantitative study.

J.-M. Beis
  • Fonction : Auteur
C. Keller
  • Fonction : Auteur
T. Bernati
  • Fonction : Auteur
A. Louis-Dreyfus
  • Fonction : Auteur
D. Perennou
  • Fonction : Auteur
C. Prairial
  • Fonction : Auteur
M. Rousseaux
  • Fonction : Auteur
C. Samuel
  • Fonction : Auteur
L. Wiart
  • Fonction : Auteur

Résumé

OBJECTIVES: Comparatively little research has been conducted on right neglect after left brain damage. The authors sought to assess contralateral neglect in subacute left hemisphere stroke patients using a comprehensive test battery validated in a large control group after right hemisphere stroke. METHODS: Seventy-eight left hemisphere stroke patients were assessed. The test battery included a preliminary assessment of anosognosia and visual extinction, a clinical assessment of gaze orientation and personal neglect, and paper-and-pencil tests of spatial neglect in the peripersonal space. Only nonverbal tests were used. RESULTS: Drawing and cancellation tasks revealed neglect in 10 to 13% of patients. The combined battery was more sensitive than any single test alone. A total of 43.5% of patients showed some degree of neglect on at least one measure. Anatomic analyses showed that neglect was more common and severe when the posterior association cortex was damaged. CONCLUSIONS: The frequency of occurrence of right neglect was, as expected, much lower than that reported in a study using the same assessment battery in right brain damage stroke patients. Nevertheless, neglect was found in a substantial proportion of patients at a subacute stage, suggesting that it should be considered in the rehabilitation planning of left brain damage stroke patients.
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Dates et versions

hal-00271980 , version 1 (10-04-2008)

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J.-M. Beis, C. Keller, N. Morin, P. Bartolomeo, T. Bernati, et al.. Right spatial neglect after left hemisphere stroke: qualitative and quantitative study.. Neurology, 2004, 63 (9), pp.1600-5. ⟨10.1212/01.wnl.0000142967.60579.32⟩. ⟨hal-00271980⟩
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