A Chinese Patient with Pusher Syndrome and Unilateral Spatial Neglect Syndrome

Abstract

Objective:To observe clinical manifestations, behavioral characteristics, and effects of rehabilitation on a patient with pusher syndrome and unilateral spatial neglect caused by right thalamic hemorrhage.Methods:Assessment of pusher syndrome was made by the Scale for Contraversive pushing (SCP), and unilateral spatial neglect syndrome was diagnosed using line cancellation, letter and star cancellation, line bisection tests and copy and continuation of graphic sequence test. Behavioral therapy, occupational therapy, reading training and traditional Chinese medicine methods were adopted for treatment of pusher syndrome and unilateral spatial neglect.Results:The patient showed typical pusher syndrome and unilateral spatial neglect symptoms. The pusher syndrome and unilateral spatial neglect symptoms were significantly improved following rehabilitation treatments.Conclusions:Pusher syndrome and unilateral spatial neglect syndrome occurred simultaneously after right thalamic hemorrhage. Early rehabilitation therapy can reduce the symptoms of pusher syndrome and unilateral spatial neglect syndrome and improve motor function.

A Intervenção dos Enfermeiros de Reabilitação na Pessoa com Síndrome de Pusher

“…Foram identificados 9 artigos científicos, publicados entre 2004 e 2021, 3 provenientes da China (13)(14)(15) , 2 da Alemanha (16,17) , 1 dos Estados Unidos (10) , 1 da Coreia do Sul (18) , 1 de Taiwan (19) e 1 de Itália (20) . A maior parte destes artigos recorreu à metodologia estudo de caso (6) (10,13,15,16,18,20) e 2 deles são experimentais (14,19) , abrangendo 72 pessoas com síndrome de pusher. Um dos artigos não aborda o tipo de metodologia implementada (17) .…”

Case Report: Visual Deprivation in Pusher Syndrome Complicated by Hemispatial Neglect After Basal Ganglia Stroke

“…In a retrospective analysis of a large sample, Dai et al ( 10 ) found that all patients with PS had USN and 97% of those with USN had PS. Chen et al ( 26 ) reported that PS correlated with USN in approximately 80% of patients with right hemispheric injury.…”

Metavestibular disorders and disorders of higher vestibular function

“…Причем чаще причиной синдрома отталкивания становится поражение правого полушария, что дает основания предполагать, что центральные отделы вестибулярной системы именно правого полушария главным образом отвечают за восприятие вертикали [20]. Другое объяснение связывает синдром отталкивания с односторонним пространственным игнорированием [23,24].…”