Laboratoire Vision Action Cognition (VAC), Universite Paris Cite.
Neuropsychology. 2023 May;37(4):450-462. doi: 10.1037/neu0000841. Epub 2022 Jul 7.
Unilateral spatial neglect (USN) is a neuropsychological syndrome whose symptoms differ considerably between patients. Several heterogeneities and dissociations have been described between processing stages, spatial regions, reference frames, or sensory modalities. However, in clinical practice, current routine tests rarely assess the different USN subtypes. There is a real lack of practice guidance for clinicians to help them choosing the right USN assessment tools for specific USN aspects.
The present article is a narrative synthesis based on a systematic literature search of (a) the dissociations and heterogeneities that can appear in USN and of (b) the different clinical tools available for their assessment.
Several tools have been developed to better assess USN heterogeneities. This review highlights their potential relevance and advocates for their widespread use in a clinical practice context. However, it also raised the issue of the lack of standardized clinical tools for the evaluation of some USN aspects.
While USN heterogeneities and dissociations are difficult to assess in current clinical practice, there is a real need to improve their assessment. This will allow clinicians to establish the individual USN profile of each patient not only in terms of severity but also of impaired aspects in order to provide them the rehabilitation program that suits the best their needs. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
单侧空间忽略（USN）是一种神经心理学综合征，其症状在患者之间存在很大差异。已经描述了处理阶段、空间区域、参照系或感觉模态之间的几种异质性和分离。然而，在临床实践中，当前的常规测试很少评估不同的 USN 亚型。临床医生缺乏实践指导，难以帮助他们选择针对特定 USN 方面的正确 USN 评估工具。
本文是对（a）USN 中可能出现的分离和异质性以及（b）评估其的不同临床工具的系统文献检索的叙述性综合。
已经开发了几种工具来更好地评估 USN 的异质性。这篇综述强调了它们的潜在相关性，并主张在临床实践中广泛使用它们。然而，它也提出了缺乏标准化临床工具来评估某些 USN 方面的问题。
虽然 USN 的异质性和分离在当前的临床实践中难以评估，但确实需要改进它们的评估。这将使临床医生能够根据严重程度以及受损方面为每位患者建立个体 USN 特征，以便为他们提供最符合其需求的康复计划。
