Department of Neurological, Neuropsychological, Morphological & Movement Sciences, Section of Physiology and Psychology, University of Verona and National Institute of Neuroscience, Strada le Grazie 8, 37134 Verona, Italy.
J Neurooncol. 2012 Jun;108(2):261-7. doi: 10.1007/s11060-012-0820-9. Epub 2012 Feb 14.
Patients with neglect fail to report, respond to, or orient to stimuli presented on the opposite side of the brain lesion. Spatial neglect is a multi-componential syndrome and many of its symptoms and signs need specific testing to detect their different clinical manifestations. Given that neglect has a dramatic effect on the outcome of these patients, it is of paramount importance for accurate assessment all its manifestations. Thus, the purpose of this study is to assess visuo-spatial functions with a newly-built neuropsychological battery to determine the incidence of visuo-spatial disorders and spatial neglect in patients with right brain tumour. We tested 14 patients undergoing tumour resection, both pre-operatively and post-operatively. Pre-operatively, we found an incidence of 42.86% for visuo-spatial deficits and of 14.29% specifically for spatial neglect. This incidence increases post-operatively to 57.14% for visuo-spatial deficits and to 42.86% specifically for spatial neglect. The present study has important implications for a better knowledge of the spatial disorders in patients with right-brain tumour, thus providing a clearer picture on the everyday life problems faced by these patients, both within the family and in working contexts.
患者忽视未能报告、响应或定位到大脑损伤对侧呈现的刺激。空间忽视是一种多成分综合征,其许多症状和体征需要特定的测试来检测其不同的临床表现。鉴于忽视对这些患者的治疗结果有显著影响,准确评估其所有表现至关重要。因此,本研究旨在使用新构建的神经心理学测试工具评估视空间功能,以确定右脑瘤患者的视空间障碍和空间忽视的发生率。我们对 14 名正在接受肿瘤切除术的患者进行了术前和术后测试。术前发现视空间缺陷的发生率为 42.86%,空间忽视的发生率为 14.29%。术后,视空间缺陷的发生率上升至 57.14%,空间忽视的发生率上升至 42.86%。本研究对于更好地了解右脑瘤患者的空间障碍具有重要意义,从而更清楚地了解这些患者在家庭和工作环境中面临的日常生活问题。