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Updated: Jul 11, 2026
07:44
Assessment of Cerebral Lateralization in Children using Functional Transcranial Doppler Ultrasound (fTCD)
Published on: September 27, 2010
Difference in recognition of right and left hemispheric stroke
Christian Foerch1, Bjoern Misselwitz, Matthias Sitzer
1Department of Neurology, Johann Wolfgang Goethe University, Schleusenweg 2-16, 60528 Frankfurt am Main, Germany. foerch@em.uni-frankfurt.de
Lancet (London, England)
|August 2, 2005
Summary
Left hemispheric strokes are more common in hospital patients than right-sided strokes. Recognizing right-sided stroke symptoms is crucial for timely and effective stroke management.
Area of Science:
- Neurology
- Stroke Medicine
- Epidemiology
Background:
- Cerebrovascular event symptoms vary by lesion hemisphere, impacting recognition and management.
- Unequal distribution of left and right hemispheric strokes in patient populations is not well-established.
Purpose of the Study:
- To determine if left and right hemispheric strokes are unequally distributed in hospitalized patients.
- To identify factors associated with hemispheric stroke laterality.
Main Methods:
- Analysis of a large hospital-based stroke registry in Germany.
- Inclusion of 11,328 patients with left hemispheric events and 8,769 with right-sided lesions.
Main Results:
- Left hemispheric strokes (56%) were significantly more frequent than right-sided lesions (44%) (p<0.0001).
- Age, stroke severity, and time to admission were associated with left hemispheric stroke, indicating a potential selection bias.
Conclusions:
- Left and right hemispheric strokes show unequal distribution in hospitalized patients.
- Challenges in recognizing right-hemispheric stroke symptoms can impede optimal management, especially in early stages.
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