Unilateral Spatial Neglect USN

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86 214 28 2 Behavioural Inattention Test Catherine Bergego Scale 28 2 214 223 2008 Key Words unilateral spatial neglect language disturbance mechanism priming rehabilitation Unilateral Spatial Neglect USN 70 80 40 0 38 2001 Kinsbourne Kinsbourne 1970 ADL ADL Catherine Bergego Scale CBS 2007

2008 6 30 215 87

88 216 28 2 5 CIU Correct Information Unit 2006

2008 6 30 217 89 3 5 1981 BIT Behavioural Inattention Test 2006a 1 2001 Ota 2001 2 Maeda 2005

90 218 28 2 0.1 2002 1997 motor impersistence 2001 2006b

2008 6 30 219 91 Kinsbourne 1987 Weintraub 1989 Heilman 1993 Bisiach 1978 1 Visual scanning training look to the left The New York studies2 Caloric stimulationrubens 19853 Diller 19774 1997 Vallar 19955 LED Neglect Alert DeviceRobertson 19916 20017 Stanton 1983 8 Dynamic stimulation LED Butter 1989 9 Eye patching Butter 199210 Fresnel Prism 10 Rossetti 1998 Rossi 199011 Arai 199712 Gordon 198513 Mental ProsthesisSeron 198914 Robertson 199115 15 Robertson 1992 Karnath 199116 Fleet 198717 2007

92 220 28 2 10 1 9 2 4 6 13 2006

2008 6 30 31 2007 11 1 14 554 558, 1997. 2 Arai, T., Ochi, H., Sasaki, H., et al. Hemispatial sunglass effect on unilateral spatial neglect. Arch. Phys. Med. Rehabil., 78 230 232, 1997. 3 Bisiach, E. & Luzzatti, C. Unilateral neglect of representation space. Cortex, 14 129 133, 1978. 4 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, 27 1231 1240, 1989. 5 Butter, C. M. & Kirsch, N Combined and separate effects of eye patching and visual stimulation on unilateral neglect following stroke. Arch. Phys. Med. Rehabil., 73 1133 1139, 1992. 6 Diller, L. & Weinberg, J. Hemi inattention in rehabilitation the evolution of a rational remediation program. Adv. Neurol., 18 63 82, 1977. 7 Fleet, W. S., Valenstein, E., Watson, R. T., et al. Dopamine agonist therapy for neglect in humans. Neurology, 37 1765 1770, 1987. 8 116 392 398, 1981. 9 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., 66 353 359, 1985. 10 Heilman, K. M., Watson, R. T. & Vallenstein, E. 221 93 Neglect and related disorders. In Clinical Neuropsychology eds Heilman, K. M. & Vallenstein, E.. 3rd Ed., Oxford University Press, New York, 1993, pp. 279 336. 11 SLTA 30 2006, p. 123. 12 rtmsrcbf 44 542 553, 2007. 13Clinical Neuroscience, 19 441 444, 2001. 14 MB Med. Reha., 70 1 7, 2006a. 15Clinical Neuroscience, 24 1129 1130, 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, 224 1997 2014, 1991. 17 Kinsbourne, M. A model for the mechanism of unilateral neglect of space. Trans. Am. Neurol. Assoc., 95 143 146, 1970. 18 Kinsbourne, M. Mechanism of unilateral neglect. In Neurophysiological and aspects of spatial neglect ed. Jeannerod, M., Elsevier, Amsterdam New York, 1987, pp. 69 86. 19 2001, pp. 169 173. 20 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. 10 14. 21

94 222 29 15 21, 2001. 22 Catherine Bergego Scale CBS Behavioral Inattention Test BIT44 Suppl. S253, 2007. 23 Clinical Neuroscience, 24 810 812, 2006. 24 Ota, H., Fujii, T., Suzuki, K., et al. Dissociations of body centered and stimulus centered representations in unilateral neglect. Neurology, 57 2064 2069, 2001. 25 Robertson, I. H. Use of left vs right hand in responding to lateralized stimuli in unilateral neglect. Neuropsychologia, 29 1129 1135, 1991. 26 Robertson, I. H., North, N. & Geggie, C. Spatiomotor cueing in unilateral left neglect three case studies of its therapeutic effects. J. Neurol. Neurosurg. Psychiatry, 55 799 805, 1992. 27 Rossetti, Y., Rode, G., Pisella, L., et al. Prism adaptation to rightward optical deviation rehabilitates left hemispatial neglect. Nature, 395 166 169, 1998. 28 Rossi, P. W., Kheyfets, S. & Reding, M. J. Fresnel prism improve visual perception in stroke patients with homonymous hemianopia or unilateral visual neglect. Neurology, 40 1597 1599, 1990. 29 Rubens, A. B. Caloric stimulation and unilateral 28 2 visual neglect. Neurology, 35 1019 1024, 1985. 30 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. 289 316. 31 Stanton, K. M., Pepping, M., Brockway, J. A., et al. Wheelchair transfer training for right cerebral dysfunctions An interdisciplinary approach. Arch. Phys. Med. Rehabil., 64 276 280, 1983. 32 29 23 28, 2001. 33Clinical Neuroscience, 15 738 741, 1997. 34 2002 pp. 93 114. 35 Vallar, G., Rusconi, M. L., Barozzi, S., et al. Improvement of left visuo spatial hemineglect by left sided transcutaneous electrical stimulation. Neuropsychologia, 33 73 82, 1995. 36 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. 357 374.

2008 6 30 223 95 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.