Homonymous hemianopsia versus unilateral spatial neglect rehabilitation strategies in stroke patients

Abstract

Visual rehabilitation therapy is one of the most problematic issue in stroke rehabilitation. The difficulties consist in specific assessment of visual deficit and poor results reports by the authors of the clinical studies. Opposite, experimental studies reports encouraging results that give hopes in this specific rehabilitation therapy. There are still difficult to analyze different aquisitions concerning various visual residual deficits after stroke, the main rehabilitation targgets being motor rehabilitation in order to ensure at least a partial autonomy in day by day life. All the studies that proved there are chances for a better quality of life if there is an improvement of visual abilities together with motor and cognitive skills with a better rehabilitation prognosis. The aim of this paper is to make a brief report regarding two of the most important visual deficits after stroke as are homonymous hemianopsia and neglect. Starting with differential diagnosis, neuroplasticity and specific rehabilitation available method, the main issues are discussed. a better understanding of phenomena that are associated with spontaneous rehabilitation, or enhancing the progress of recuperation by various method, could be able to bring a new light and hopefully better results in rehabilitation for these patients Key words: stroke, visual impairment, visual rehabilitation, neuroplasticity, homonymous hemianopsia,

Pseudotumor cerebri-Case report

“…Steroids were commonly used in the past for treating IIP but because of several side effects such as weight gain, rebound intracranial pressure after withdrawal, increase of glycemia, osteoporosis, psychosis ,peptic ulcer disease, hypertension, renal failure should not be used routinely (33,34). Lumbar puncture improves the symptoms of IIP in most cases for a short period (35,36). In our case the patient felt better after the procedure although the headache was not typically for IIP from the very beginning.…”