Chinese Medical Journal (May 2019)

Visual-spatial neglect after right-hemisphere stroke: behavioral and electrophysiological evidence

  • Lin-Lin Ye,
  • Lei Cao,
  • Huan-Xin Xie,
  • Gui-Xiang Shan,
  • Yan-Ming Zhang,
  • Wei-Qun Song,
  • Li-Shao Guo

DOI
https://doi.org/10.1097/CM9.0000000000000218
Journal volume & issue
Vol. 132, no. 9
pp. 1063 – 1070

Abstract

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Abstract. Background:. Visual-spatial neglect (VSN) is a neuropsychological syndrome, and right-hemisphere stroke is the most common cause. The pathogenetic mechanism of VSN remains unclear. This study aimed to investigate the behavioral and event-related potential (ERP) changes in patients with or without VSN after right-hemisphere stroke. Methods:. Eleven patients with VSN with right-hemisphere stroke (VSN group) and 11 patients with non-VSN with right-hemisphere stroke (non-VSN group) were recruited along with one control group of 11 age- and gender-matched healthy participants. The visual-spatial function was evaluated using behavioral tests, and ERP examinations were performed. Results:. The response times in the VSN and non-VSN groups were both prolonged compared with those of normal controls (P 0.05). Conclusions:. Visual-spatial attention function is impaired after right-hemisphere stroke, and clinicians should be aware of the subclinical VSN. Our findings provide neuroelectrophysiological evidence for the lateralization of VSN.