Unilateral Spatial Neglect USN

Transcription

1 Behavioural Inattention Test Catherine Bergego Scale Key Words unilateral spatial neglect language disturbance mechanism priming rehabilitation Unilateral Spatial Neglect USN Kinsbourne Kinsbourne 1970 ADL ADL Catherine Bergego Scale CBS 2007

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3 CIU Correct Information Unit 2006

4 BIT Behavioural Inattention Test 2006a Ota Maeda 2005

5 motor impersistence b

6 Kinsbourne 1987 Weintraub 1989 Heilman 1993 Bisiach Visual scanning training look to the left The New York studies2 Caloric stimulationrubens Diller Vallar LED Neglect Alert DeviceRobertson Stanton Dynamic stimulation LED Butter Eye patching Butter Fresnel Prism 10 Rossetti 1998 Rossi Arai Gordon Mental ProsthesisSeron Robertson Robertson 1992 Karnath Fleet

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8 , Arai, T., Ochi, H., Sasaki, H., et al. Hemispatial sunglass effect on unilateral spatial neglect. Arch. Phys. Med. Rehabil., , Bisiach, E. & Luzzatti, C. Unilateral neglect of representation space. Cortex, , Butter, C. M., Buchtel, H. A. & Santucci, R. Spatial attentional shifts Further evidence for the role of polysensory mechanisms using visual and tactile stimuli. Neuropsychologia, , Butter, C. M. & Kirsch, N Combined and separate effects of eye patching and visual stimulation on unilateral neglect following stroke. Arch. Phys. Med. Rehabil., , Diller, L. & Weinberg, J. Hemi inattention in rehabilitation the evolution of a rational remediation program. Adv. Neurol., , Fleet, W. S., Valenstein, E., Watson, R. T., et al. Dopamine agonist therapy for neglect in humans. Neurology, , , Gordon, W. A., Hibbard, M. R., Egelko, S., et al. Perceptual remediation in patients with right brain damage a comprehensive program. Arch. Phys. Med. Rehabil., , Heilman, K. M., Watson, R. T. & Vallenstein, E Neglect and related disorders. In Clinical Neuropsychology eds Heilman, K. M. & Vallenstein, E.. 3rd Ed., Oxford University Press, New York, 1993, pp SLTA , p rtmsrcbf , Clinical Neuroscience, , MB Med. Reha., , 2006a. 15Clinical Neuroscience, , 2006b. 16 Karnath, H. O., Schenkel, P. & Fisher, B. Trunk orientation as the determining factor of the physical anchor of the internal representation of body orientation in space. Brain, , Kinsbourne, M. A model for the mechanism of unilateral neglect of space. Trans. Am. Neurol. Assoc., , Kinsbourne, M. Mechanism of unilateral neglect. In Neurophysiological and aspects of spatial neglect ed. Jeannerod, M., Elsevier, Amsterdam New York, 1987, pp , pp Maeda, M., Nakagome, Y., Shimizu, S., et al. Effects of left hemineglect in facial image recognition. 3rd International Society of Physical and Rehabilitation Medicine ISPRM, São Paulo, Brasil, 2005, pp

9 , Catherine Bergego Scale CBS Behavioral Inattention Test BIT44 Suppl. S253, Clinical Neuroscience, , Ota, H., Fujii, T., Suzuki, K., et al. Dissociations of body centered and stimulus centered representations in unilateral neglect. Neurology, , Robertson, I. H. Use of left vs right hand in responding to lateralized stimuli in unilateral neglect. Neuropsychologia, , Robertson, I. H., North, N. & Geggie, C. Spatiomotor cueing in unilateral left neglect three case studies of its therapeutic effects. J. Neurol. Neurosurg. Psychiatry, , Rossetti, Y., Rode, G., Pisella, L., et al. Prism adaptation to rightward optical deviation rehabilitates left hemispatial neglect. Nature, , Rossi, P. W., Kheyfets, S. & Reding, M. J. Fresnel prism improve visual perception in stroke patients with homonymous hemianopia or unilateral visual neglect. Neurology, , Rubens, A. B. Caloric stimulation and unilateral 28 2 visual neglect. Neurology, , Seron, X., Deloche, G & Coyette, F. A retrospective analysis of a single case neglect therapy a point of therapy. In Cognitive approaches in neuropsychological rehabilitation eds Seron, X. & Deloche, G.. Lawrence Erlbaum Associates, Hillsdale, 1989, pp Stanton, K. M., Pepping, M., Brockway, J. A., et al. Wheelchair transfer training for right cerebral dysfunctions An interdisciplinary approach. Arch. Phys. Med. Rehabil., , , Clinical Neuroscience, , pp Vallar, G., Rusconi, M. L., Barozzi, S., et al. Improvement of left visuo spatial hemineglect by left sided transcutaneous electrical stimulation. Neuropsychologia, , Weintraub, S., Mesulam, M. M. Neglect hemispheric specialization, behavioral components and anatomical correlates. In Handbook of Neuropsychology, Vol. 2. eds Boller, F. & Grafman, J., Elsevier Science Publishers B. V., Amsterdam New York, 1989, pp

10 Abstract Unilateral spatial neglect Masaharu Maeda Unilateral spatial neglect USN is a symptom to neglect the other side stimulation of the hemispheric brain damage and it is easy to occur with right brain damage. The often shown symptoms of the USN are rotating the face and the eyes to the right, being unable to recognize the things on the left side and the discourse disorder, etc. Tests like Behavioral Inattention Test BIT and Catherine Bergego Scale are used for the USN. There are mechanisms such as theories of inattention, directionality hypokinesis and symbolic disorder, etc. Moreover, the priming of the left visual stimulation was described. The lesions of the USN are the territory of middle cerebral artery, posterior cerebral artery and anterior cerebral artery, etc. As for the rehabilitation, training of the attention to the left and the compensative methods are reported. The key point of the training is to think out the emotional exchange, the stimulation method, and the way to improve motivation. It is necessary to correspond appropriately in the rehabilitation team.