NEGLECT-DEFINITION
SUMMARY
1. Unilateral neglect is a lack of orienting response to stimuli presented unilaterally.
2. Neglect cannot be diagnosed unless the primary sensory modality required to sense the stimulus is intact.
3. More common in patients with right sided (42%) than left sided lesions (8%) and is persistent with right sided strokes[1]
2. Hier DB, Mondlock J, Caplan LR. Behavioral abnormalities after right hemisphere stroke. Neurology. 1983; 33(3):337-344 (a).Hier DB, Mondlock J, Caplan LR. Recovery of behavioural abnormalities after right hemisphere stroke. Neurology 1983; 33:345-350 (b).
3. Pedersen PM, Jorgensen HS, Nakayama H, Raaschou HO, Olsen TS.Hemineglect in acute stroke--incidence and prognostic implications. The Copenhagen Stroke Study. Am J Phys Med Rehabil 1997; 76(2):122-7.
[2][3].
4. Almost always contra-lesional.
5. Poor prognosis for functional outcome, poorer mobility, longer LOS in rehab, and slower rates of improvement.
6. Hier et al. found that, of those who recover, neglect had a median recovery time of 9 wks, 70% recovered by 15 wks, 90% recovered by 20 wks[4]
.
Reference(s)
- ↑ Kwasnica CM. Unilateral neglect syndrome after stroke: theories and management issues. Critical Reviews in Physical and Rehabilitation Medicine 2002; 14(1):25-40.
- ↑ Hier DB, Mondlock J, Caplan LR. Behavioral abnormalities after right hemisphere stroke. Neurology. 1983; 33(3):337-344 (a).Hier DB, Mondlock J, Caplan LR. Recovery of behavioural abnormalities after right hemisphere stroke. Neurology 1983; 33:345-350 (b).
- ↑ Pedersen PM, Jorgensen HS, Nakayama H, Raaschou HO, Olsen TS.Hemineglect in acute stroke--incidence and prognostic implications. The Copenhagen Stroke Study. Am J Phys Med Rehabil 1997; 76(2):122-7.
- ↑ Hier DB, Mondlock J, Caplan LR. Behavioral abnormalities after right hemisphere stroke. Neurology. 1983; 33(3):337-344 (a).Hier DB, Mondlock J, Caplan LR. Recovery of behavioural abnormalities after right hemisphere stroke. Neurology 1983; 33:345-350 (b).
Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.
