scholarly journals A study on the right unilateral spatial neglect in left hemispheric lesions - The difference between right-handed and left-handed post stroke patients.

1990 ◽  
Vol 27 (5) ◽  
pp. 363-373
Author(s):  
Shinichiro MAESHIMA ◽  
Nobuyuki DOHI ◽  
Toshio KAJIWARA ◽  
Yoshimi KONDO ◽  
Etsuko MAESHIMA ◽  
...  
Author(s):  
Barbara Spanò ◽  
Davide Nardo ◽  
Giovanni Giulietti ◽  
Alessandro Matano ◽  
Ilenia Salsano ◽  
...  

AbstractA typical consequence of stroke in the right hemisphere is unilateral spatial neglect. Distinct forms of neglect have been described, such as space-based (egocentric) and object-based (allocentric) neglect. However, the relationship between these two forms of neglect is still far from being understood, as well as their neural substrates. Here, we further explore this issue by using voxel lesion symptoms mapping (VLSM) analyses on a large sample of early subacute right-stroke patients assessed with the Apples Cancellation Test. This is a sensitive test that simultaneously measures both egocentric and allocentric neglect. Behaviourally, we found no correlation between egocentric and allocentric performance, indicating independent mechanisms supporting the two forms of neglect. This was confirmed by the VLSM analysis that pointed out a link between a damage in the superior longitudinal fasciculus and left egocentric neglect. By contrast, no association was found between brain damage and left allocentric neglect. These results indicate a higher probability to observe egocentric neglect as a consequence of white matter damages in the superior longitudinal fasciculus, while allocentric neglect appears more “globally” related to the whole lesion map. Overall, these findings on early subacute right-stroke patients highlight the role played by white matter integrity in sustaining attention-related operations within an egocentric frame of reference.


2015 ◽  
Vol 73 (10) ◽  
pp. 834-839 ◽  
Author(s):  
Núbia Maria Freire Vieira Lima ◽  
Karina Cândido Menegatti ◽  
Érica Yu ◽  
Natália Yumi Sacomoto ◽  
Thais Botossi Scalha ◽  
...  

Objective To investigate somatosensory deficits in the ipsilesional wrist and hand in chronic stroke patients and correlate these deficits with contralesional sensorimotor dysfunctions, functional testing, laterality and handedness.Methods Fifty subjects (twenty-two healthy volunteers and twenty-eight stroke patients) underwent evaluation with Semmes-Weinstein monofilaments, the sensory and motor Fugl-Meyer Assessment, the Nottingham Sensory Assessment in both wrists and hands and functional tests.Results Twenty-five patients had sensory changes in the wrist and hand contralateral to the stroke, and eighteen patients (64%) had sensory deficits in the ipsilesional wrist and hand. The most significant ipsilesional sensory loss was observed in the left-handed patients. We found that the patients with brain damage in the right hemisphere had better scores for ipsilesional tactile sensation.Conclusions A reduction in ipsilesional conscious proprioception, tactile or thermal sensation was found in stroke subjects. Right hemisphere damage and right-handed subjects had better scores in ipsilesional tactile sensation.


1995 ◽  
Vol 80 (2) ◽  
pp. 671-674 ◽  
Author(s):  
Carl Gabbard ◽  
Susan Hart

Prior research has shown that right-handed adults perform better on a speed-tapping task with the right hand and right foot, while left-handers execute more rapidly with the left hand and right foot. Speculation is that environmental influence, most likely driving experience, may account for the right-foot bias. To examine this hypothesis further, 48 young right- and left-handed children were tested on a similar protocol. Analyses indicated no significant differences in foot performance within hand-preference groups. Since these findings do not complement reports for adults, factors such as experience or maturation might contribute to the difference. Were patterns similar, the effect of environmental influence would be assumed to be small. However, much more evidence is needed before an adequate explanation can be developed. The issue of possible environmental influence is discussed from various theoretical perspectives.


2017 ◽  
Vol 2017 ◽  
pp. 1-7
Author(s):  
Ángel Sánchez-Cabeza ◽  
Elisabet Huertas-Hoyas ◽  
Nuria Máximo-Bocanegra ◽  
Rosa María Martínez-Piédrola ◽  
Marta Pérez-de-Heredia-Torres ◽  
...  

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. Results. The Spanish version of the Behavioral Inattention Test shows a high degree of reliability both in the complete test (α = .90) and in the conventional (α = .93) and behavioral subtests (α = .75). The concurrent validity between the total conventional and behavioral scores was high (r=-.80; p<0.001). Significant differences were found between patients with and without unilateral spatial neglect (p<0.001). In the comparison between right and left damaged sides, differences were found in all items, except for article reading (p=0.156) and card sorting (p=0.117). Conclusions. This measure is a useful tool for evaluating unilateral spatial neglect as it provides information on everyday problems. The BIT discriminates between stroke patients with and without unilateral spatial neglect. This measure constitutes a reliable tool for the diagnosis, planning, performance, and design of specific treatment programs intended to improve the functionality and quality of life of people with unilateral spatial neglect.


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