Silent Cardiac Ischemia after an Ischemic Stroke of the Right Hemisphere

Kasius, Kristel M.; Lamfers, E. J. P.; Venderink, Dick; Verhagen, W. I. M.

doi:10.1159/000330931

Cited by 1 publication

(2 citation statements)

References 17 publications

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“…Anosognosia after right brain stroke also interferes with reporting other medical symptoms that require immediate attention. In one report, a patient who was previously able to report angina reliably lost awareness of this left-body symptom after a stroke 68 …”

Section: Unawareness Of Deficit (Anosognosia) After Right Brain Strokementioning

confidence: 99%

“…In one report, a patient who was previously able to report angina reliably lost awareness of this left-body symptom after a stroke. 68 The inability to recognize functional limitations poses a significant safety risk, is associated with falls, 69 and is known to be a major barrier to effective rehabilitation. 70 Anosognosia can take several forms, with different degrees of disavowal of the neurologic deficit (TABLE 6-5 71 ).…”

Section: Key Pointmentioning

confidence: 99%

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Spatial Neglect and Anosognosia After Right Brain Stroke

Barrett¹

2021

CONTINUUM: Lifelong Learning in Neurology

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PURPOSE OF REVIEW Up to 80% of survivors of right brain stroke leave acute care without being diagnosed with a major invisible disability. Studies indicate that a generic cognitive neurologic evaluation does not reliably detect spatial neglect, nor does it identify unawareness of deficit after right brain stroke; this article reviews the symptoms, clinical presentation, and management of these two cognitive disorders occurring after right brain stroke. RECENT FINDINGS Stroke and occupational therapy practice guidelines stress a quality standard for spatial neglect assessment and treatment to reduce adverse outcomes for patients, their families, and society. Neurologists may attribute poor outcomes associated with spatial neglect to stroke severity. However, people with spatial neglect are half as likely to return to home and community, have one-third the community mobility, and require 3 times as much caregiver supervision compared with similar stroke survivors. Multiple randomized trials support a feasible first-line rehabilitation approach for spatial neglect: prism adaptation therapy; more than 20 studies reported that this treatment improves daily life independence. Evidence-based treatment of anosognosia is not as developed; however, treatment for this problem is also available. SUMMARY This article guides neurologists’ assessment of right brain cognitive disorders and describes how to efficiently assemble and direct a treatment team to address spatial neglect and unawareness of deficit.

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Section: Unawareness Of Deficit (Anosognosia) After Right Brain Strokementioning

confidence: 99%