Unilateral spatial neglect associated with chronic subdural haematoma: a case report
| Autor: | Akitaka Ueyoshi, Mari Kitayama, Tomoko Matsumoto, Toru Itakura, Shinichiro Maeshima, Kunio Nakai, Naoyuki Nakao |
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| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty Intracranial Pressure media_common.quotation_subject Neuroscience (miscellaneous) Neurological disorder Chronic subdural haematoma Neglect Perceptual Disorders Hematoma Activities of Daily Living Developmental and Educational Psychology medicine Humans Aged media_common Unilateral spatial neglect Muscle Weakness Vascular disease business.industry medicine.disease Pressure difference Surgery Left hemiparesis Hematoma Subdural Chronic Neurology (clinical) business |
| Zdroj: | Brain Injury. 15:371-376 |
| ISSN: | 1362-301X 0269-9052 |
| DOI: | 10.1080/02699050010005878 |
| Popis: | A 69-year-old right-handed man who exhibited unilateral spatial neglect in association with a chronic subdural haematoma, presented with mild left arm and leg weakness first noted 4 weeks prior to admission. Neurologic examination on admission revealed a mild left hemiparesis, including the face. Neuropsychologic examination revealed left unilateral spatial neglect, but no language disturbance. Minimal support was necessary to maintain activities of daily living. Computed tomography revealed a large right temporoparietal, extraaxial hypodense fluid collection containing scattered hypodense foci. The haematoma was evacuated via a right parietal burr hole. Following surgery, the patient dramatically improved neurologically and neuropsychologically, as well as in independent performance of daily activities. It is suggested that the improvement in ADL provides a behavioural correlate of improvement in the latter, represented a behavioural correlate of improved cerebral function, and that either direct compression by the chronic subdural haematoma or an interhemispheric pressure difference had caused unilateral spatial neglect. Such neglect is an unusual consequence of chronic subdural haematoma. |
| Databáze: | OpenAIRE |
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