Spatial neglect is among the most disabling features of stroke. Subjects with spatial neglect have a lower chance of regaining independence or returning home after discharge There are many tests assessing various aspects of spatial neglect. Line
bisection test is a short and simple test of spatial neglect which has often been included in research batter ies of stroke subjects. We have used this test to define the normal range of line bisection errors in horizontal and vertical planes, to
compare subjects with normal and impaired line bisection in respect to pre-stroke demographic factors, prevalence of prior stroke and indices of current stroke, and indices of current stroke deficit, to define a more exact lesion in relation to
the
visual neglect and to understand the pathomechanism.
@ES We have studied 57 controls and 44 stroke patients and the results are as follows;
@EN1) The normal range of line bisection errors for controls was about 11.5 mm from the true midpoint.
2) The mean age was 56.4 years with 75% of patients in their fifties and sixties in stroke patient. Sex ratio was 1.9 : 1.
3) 32 patients had infarcts and 12 patients hemorrhages.
4) 18 patients had horizontal neglect, 14 patients vertical and 12 patients had both.
5) From this study visual neglect in relation to age, sex, etiology and lesion was negligible. But in 12 patients with repeated stroke, 7 patients had vertical visual neglect.
6) Patients with lesions in right parietal lobe or basal ganglia was related to visual neglect(p<0.01).
|