Incidence, Risk Factors and Anatomy of Peripersonal Visuospatial Neglect in Acute Stroke.

Abstract

AIM The study aims to describe the epidemiology and the neural correlates of peripersonal visuospatial neglect (PVN) in patients admitted to the Geneva Stroke Unit for an acute stroke or a transient ischemic attack (TIA). METHODS Eligible subjects were tested for PVN using both the Ota's discriminative cancellation task and a line bisection task. Brain lesions were identified on diffusion-weighted imaging. A multivariate analysis was performed to identify risk factors of PVN. RESULTS Ninety-eight consecutive patients (40.8% females) were recruited: 64 cases of ischemic stroke, 9 cases of hemorrhagic stroke and 25 cases of TIAs. The mean age was 61.9 ± 2.86 years. The incidence of PVN was 23.5% (95% CI 15.5-33.1) and was not significantly different between patients with right and left hemisphere stroke. There were 5 cases of ipsilesional neglect. There was no association between PVN and age, sex, stroke severity, handedness, lesion type, lesion volume and time to first examination. Lesions of temporal and parietal lobes were the most frequent in patients with PVN. CONCLUSION PVN has a low incidence in the acute stroke settings and there is no particular predictor of its presence. It is most often associated with temporo-parietal lesions.

DOI: 10.1159/000444709
010020030020162017
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@article{Tatuene2016IncidenceRF, title={Incidence, Risk Factors and Anatomy of Peripersonal Visuospatial Neglect in Acute Stroke.}, author={Joseph Kamtchum Tatuene and Gilles Allali and Arnaud Saj and Th{\'e}r{\`e}se Bernati and Roman Felix Sztajzel and Pierre Pollak and Isabelle Momjian-Mayor}, journal={European neurology}, year={2016}, volume={75 3-4}, pages={157-63} }