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Ego- and allocentric visuospatial neglect: Dissociations, prevalence, and laterality in acute stroke
Nele Demeyere1, Celine R Gillebert1
1Department of Experimental Psychology.
Egocentric and allocentric neglect are distinct conditions following stroke, with varying prevalence and severity. These visuospatial neglect subtypes show different recovery rates, suggesting a heterogeneous nature of the disorder.
Area of Science:
- Neuroscience
- Cognitive Psychology
- Neurology
Background:
- Visuospatial neglect is a common post-stroke condition impacting attention to one side of space.
- Understanding the subtypes of neglect is crucial for effective diagnosis and treatment.
Purpose of the Study:
- To investigate if egocentric and allocentric neglect are functionally distinct.
- To determine the prevalence and laterality of these neglect types in early stroke.
Main Methods:
- 366 acute stroke patients were assessed using the Broken Hearts test from the Oxford Cognitive Screen.
- Prevalence, severity, and laterality of egocentric and allocentric neglect were analyzed.
- Recovery rates were tracked at 6 months in a subsample.
Main Results:
- A double dissociation was observed between egocentric and allocentric neglect.
- 50% of patients had only egocentric neglect, 25% had only allocentric neglect.
- Left-sided egocentric neglect was more prevalent and severe; left-sided allocentric neglect was more severe.
Conclusions:
- Egocentric and allocentric neglect are dissociable, supporting a heterogeneous model of visuospatial neglect.
- Visuospatial neglect is highly prevalent in both left and right hemifields post-stroke.
- Recovery rates at 6 months were 81% for egocentric and 74% for allocentric neglect.
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