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Visuospatial Neglect Caused by Microbleeds in a Patient With Cerebral Amyloid Angiopathy: A Case Report
Sodam Kim1, Youngkook Kim2, Sook Joung Lee1
1Department of Rehabilitation Medicine, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Korea.
Abstract:
This case report describes an 82-year-old man with a right parasagittal motor cortex intracerebral hemorrhage who presented with visuospatial neglect disproportionate to the primary lesion. Quantitative diffusion tensor imaging analysis revealed white matter damage suggestive of underlying cerebral amyloid angiopathy. These findings highlight the importance of considering underlying conditions such as cerebral amyloid angiopathy and premorbid cognitive function when diagnosing visuospatial neglect in elderly stroke patients. Furthermore, assessing the microstructural integrity of non-lesioned white matter tracts may help identify causes of post-stroke cognitive impairment or unexplained symptoms and provide insight into premorbid cognitive function.
Insights
An 82-year-old man
Area of Science:
- Neurology
- Neuroimaging
- Geriatric Medicine
Background:
- Intracerebral hemorrhage can cause cognitive deficits.
- Visuospatial neglect is a common stroke-related impairment.
- Cerebral amyloid angiopathy is a common cause of stroke in the elderly.
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