Right hemisphere syndromes

Stroke is the leading cause of acquired motor disability in the adult. Neuropsychological sequelae are common after vascular brain injury. While left cortical signs and symptoms are clearly evident at neurological examination, right hemispheric dysfunction must be carefully pursued and sometimes can be underrecognized. Indeed, patients with right hemispheric strokes present later to an emergency department and have a lower chance of receiving intravenous recombinant tissue plasminogen activator. For a better comprehension of clinical signs and symptoms in right acute hemispheric stroke, in this chapter we present a review of the principle clinical syndromes.