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Related Experiment Videos

Do visual field deficits exacerbate visuo-spatial neglect?

P W Halligan1, J C Marshall, D T Wade

  • 1Rivermead Rehabilitation Centre, Oxford, United Kingdom.

Journal of Neurology, Neurosurgery, and Psychiatry
|June 1, 1990
PubMed
Summary
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Visual field deficits (VFD) do not worsen visuo-spatial neglect after stroke. Poor recovery in VFD patients is linked to the underlying cause of neglect, not VFD exacerbating neglect symptoms.

Area of Science:

  • Neuroscience
  • Clinical Psychology

Background:

  • Visual field deficits (VFD) and visuo-spatial neglect frequently co-occur after right-hemisphere stroke.
  • It is debated whether VFD exacerbates neglect symptoms.

Purpose of the Study:

  • To investigate the relationship between VFD and visuo-spatial neglect in right-hemisphere stroke patients.
  • To determine if VFD exacerbates the severity of neglect.

Main Methods:

  • 51 right-hemisphere stroke patients were assessed for VFD and neglect using the Behavioural Inattention Test (BIT).
  • Four matched subgroups were created: neglect/non-neglect with/without VFD.
  • Neglect severity was compared between VFD+ and VFD- patients within each group.

Main Results:

Related Experiment Videos

  • The association between neglect and VFD was confirmed.
  • Neglect severity did not significantly differ between patients with and without VFD within the neglect groups.
  • Non-neglect groups showed no significant differences in BIT subtest scores between VFD+ and VFD- subgroups, except for Letter Cancellation.

Conclusions:

  • Visual field deficits do not exacerbate visuo-spatial neglect.
  • Poor functional recovery in patients with VFD is likely due to the co-occurrence with neglect, not VFD worsening neglect.