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Updated: Aug 29, 2026

Randomized, Triple-Blind, and Parallel-Controlled Trial of Transcranial Direct Current Stimulation for Cognitive Rehabilitation after Stroke
Published on: June 6, 2025
Prognosis for patients with neglect and anosognosia with special reference to cognitive impairment
Peter Appelros1, Gunnel M Karlsson, Ake Seiger
1Department of Neurology, Orebro University Hospital, Orebro, Sweden. peter.appelros@orebroll.se
Objective:
To describe prognosis in patients with unilateral neglect, anosognosia, or both, within a community based stroke cohort.
Methods:
Patients (n = 377) were evaluated at baseline for the presence of neglect and anosognosia. After 1 year, the level of disability was established in survivors. Predictors for death and dependency were examined in multivariate analysis. The following independent variables were used: age, consciousness, hemianopia, arm paresis, leg paresis, sensory disturbance, aphasia, neglect, anosognosia, diabetes mellitus, cardiovascular disease, pre- and post-stroke cognitive impairment.
Results:
Age, consciousness and sensory disturbance predicted death. Post-stroke cognitive impairment, neglect, hemianopia, arm paresis and age predicted dependency.
Conclusion:
Neglect in the acute phase, which occurs in patients irrespective of pre-stroke cognitive level, negatively affects disability after 1 year. Anosognosia more often occurs in patients who are cognitively impaired before the stroke. These patients often are ADL-dependent already, or become dependent because of cognitive impairment, not because of anosognosia.
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