Effects of right hemisphere strokes on personality functioning

Strokes affecting large areas of the right hemisphere are common. However, many of the most frequently seen deficits that accompany such strokes are underassessed, go untreated, and are never reported or described to family members or patients. Too often, this creates devastating but avoidable consequences. As a result, many individuals return to their homes with family members who cannot understand their behavior changes, who do not seek appropriate treatment for the stroke-injured person, and who cannot come to an acceptance of the individual's strengths and limitations. This article discusses those deficits to remind those working with right hemisphere stroke patients of the importance of considering them when assessing and treating these individuals and when working with their family members.