The Relevance of Differential Assessment Between Campimetry Deficit and Neglect in Hospitalized Neurologic Patients

Abstract

Background: This study investigates the clinical impact of visual system diseases and neuropsychological deficits on individualized rehabilitation programs for hospitalized neurologic patients. This study aimed to evaluate the clinical impact of visual system diseases and neuropsychological deficits on individualized rehabilitation programs for hospitalized neurologic patients. Methods: An observational study was conducted on adult inpatients with neurologic disorders who were admitted to the neurology ward between February 2022 and January 2023. These patients underwent comprehensive multidisciplinary assessments as well as clinical orthoptic evaluations. We collected data pertaining to demographics, medical history, diagnoses, and rehabilitation reports. All participants met specific eligibility criteria, including age, cognitive status, and clinical stability. Results: Initially, 120 patients, 68 ±13 years old, were included in the full cohort. Subsequently, after excluding patients with low interview reliability, those lacking campimetry defects, or those solely presenting neglect, a final cohort of 7 patients remained for qualitative analysis. This final group exhibited a broad age range, predominantly had vascular diagnoses, and experienced prolonged hospital stays. These patients were notable for the presence of campimetry disorders and frequently faced challenges associated with spatial neglect. Conclusions: Visual system diseases and neuropsychological deficits significantly impact the planning and execution of rehabilitation programs for hospitalized neurologic patients. A multidisciplinary approach, with the orthoptist's expertise, is essential to address visual impairments, improving the quality of life and functional outcomes of stroke survivors.