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Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of...
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Related Experiment Video

Updated: Jan 22, 2026

Standing Neurophysiological Assessment of Lower Extremity Muscles Post-Stroke
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Post-stroke visual midline shift syndrome.

Tammy Labreche1, Benjamin Wild1, Kristine Dalton1

  • 1Waterloo School of Optometry and Vision Science, University of Waterloo, Waterloo, Canada.

Clinical & Experimental Optometry
|July 20, 2019
PubMed
Summary

Research on visual midline shift syndrome after stroke is limited. While its existence and impact on posture are known, key aspects like terminology, causes, and treatment require further investigation.

Keywords:
midline shiftperceptionpost-strokevision

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Area of Science:

  • Neurology
  • Ophthalmology
  • Rehabilitation Medicine

Background:

  • Visual midline shift syndrome (VMSS) is a condition that can occur after a cerebrovascular accident (stroke).
  • The current state of research regarding VMSS following a stroke is not well-defined.
  • Understanding VMSS is crucial for effective patient recovery and management.

Purpose of the Study:

  • To conduct a scoping review to determine the extent of research on visual midline shift syndrome after cerebrovascular accident.
  • To identify key themes and knowledge gaps in the existing literature.

Main Methods:

  • A comprehensive scoping review was performed using academic and grey literature databases.
  • Search terms included 'visual midline shift' and 'cerebrovascular accident'.
  • Articles underwent a two-level review process, with 27 selected from 931 abstracts.

Main Results:

  • Agreement exists on the occurrence of midline shift post-stroke, leading to postural issues and imbalance.
  • Significant uncertainty persists regarding standardized terminology, underlying pathophysiology, and assessment methods for VMSS.
  • Management strategies for VMSS following a stroke are not clearly established in the literature.

Conclusions:

  • The literature confirms the existence of visual midline shift syndrome after a stroke and its effect on posture.
  • There is a substantial need for further research to clarify the terminology, pathophysiology, assessment, and management of VMSS.
  • Future studies should aim to standardize understanding and treatment approaches for this condition.