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Occurrence and Recovery of Different Neglect-Related Symptoms in Right Hemisphere Infarct Patients during a 1-Year Follow-Up

Published online by Cambridge University Press:  03 April 2018

Laura Nurmi ,
Eija-Inkeri Ruuskanen ,
Mari Nurmi ,
Anna-Maija Koivisto ,
Anna-Kaisa Parkkila ,
Heikki Numminen ,
Prasun Dastidar  and
Mervi Jehkonen
Laura Nurmi*
Affiliation:
Faculty of Social Sciences, Psychology, University of Tampere, Tampere, Finland
Eija-Inkeri Ruuskanen
Affiliation:
Faculty of Social Sciences, Psychology, University of Tampere, Tampere, Finland
Mari Nurmi
Affiliation:
Faculty of Social Sciences, Psychology, University of Tampere, Tampere, Finland
Anna-Maija Koivisto
Affiliation:
Faculty of Social Sciences, Health Sciences, University of Tampere, Tampere, Finland
Anna-Kaisa Parkkila
Affiliation:
Department of Neurology and Rehabilitation, Tampere University Hospital, Tampere, Finland
Heikki Numminen
Affiliation:
Department of Neurology and Rehabilitation, Tampere University Hospital, Tampere, Finland
Prasun Dastidar
Affiliation:
Department of Radiology, Tampere University Hospital, Tampere, Finland
Mervi Jehkonen
Affiliation:
Faculty of Social Sciences, Psychology, University of Tampere, Tampere, Finland
*
Correspondence and reprint requests to: Laura Nurmi, University of Tampere, Faculty of Social Sciences, Psychology, FIN-33014 University of Tampere, Finland. E-mail: laura.j.nurmi@uta.fi
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Abstract

Objectives: To examine the occurrence of and recovery from visual neglect-related symptoms with the focus on neglect laterality, ipsilateral orienting bias, and slowed processing speed in right hemisphere (RH) infarct patients during a 1-year follow-up. Furthermore, to propose guidelines for assessing processing speed alongside the Behavioural Inattention Test (BIT). Methods: We studied three RH patient groups: neglect (N+), mild left inattention (MLI+), and non-neglect (N−) patients, and healthy controls. The BIT with some additional analyses was conducted at the acute phase and at 6 and 12 months. Results: The N+ group’s BIT score increased and originally lateralized omissions became more evenly distributed during the follow-up. The N+ and MLI+ groups’ starting points were more rightward located than the healthy group’s at the acute phase and at 6, and partly at 12 months. Patient groups were slower than the controls in performing cancellation tests at the acute phase. The N+ and MLI+ groups remained slower than the controls throughout the follow-up. Conclusions: During the first year after RH infarct, originally left-sided manifestation of neglect shifted toward milder non-lateralized attentional deficit. Ipsilateral orienting bias and slowed processing speed appeared to be rather persistent neglect-related symptoms both in neglect patients and patients with initially milder inattention. We propose some effortless, tentative ways of examining processing speed and ipsilateral orienting bias alongside the BIT to better recognize these neglect-related symptoms, and highlight the need to assess and treat patients with initially milder inattention, who have been under-recognized and under-treated in clinical work. (JINS, 2018, 24, 617–628)

Keywords

InattentionInfarctProcessing speedIpsilateral orienting biasStrokeVisual neglect
Type
Regular Research
Information
Journal of the International Neuropsychological Society , Volume 24 , Issue 6 , July 2018 , pp. 617 - 628
Copyright
Copyright © The International Neuropsychological Society 2018 

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