R41.4

Clinical Causes: Stroke, especially in the right parietal or frontal lobe regions Traumatic brain injury involving the right hemisphere Brain tumors affecting areas responsible for spatial awareness Other neurological conditions that cause damage to the right side of the brain

Key Symptoms: Inattention to one side of the visual field, often the left Ignoring or neglecting parts of the body, such as the left arm or leg Difficulty navigating around objects or within space on the affected side Failure to acknowledge stimuli (lights, sounds, touch) on the neglected side Problems with reading or perceiving the environment comprehensively Contradictory to physical ability, the individual might act as if the affected side does not exist Hemi-akinesia: reduced movement on the neglected side despite no motor weakness Hemi-inattention: lack of awareness of stimuli on one side Visuospatial neglect: difficulty integrating visual information from the affected side

Diagnosis Path: Diagnosis involves a comprehensive neurological assessment, including tests to evaluate body awareness, visual attention, and spatial perception. Common assessment tools include drawing tasks, cancellation tests, and line bisection tests. Neuroimaging techniques like MRI or CT scans help identify areas of brain damage associated with neglect. Clinicians often observe behaviors linked to neglect during routine activities, and collaboration with neuropsychologists can lead to accurate diagnosis.

Treatment Protocols: Management of neurologic neglect syndrome focuses on rehabilitation strategies aimed at improving awareness and attention toward the neglected space or body part. Approaches include occupational therapy, visual scanning training, and the use of sensory cues to draw attention to the affected side. Some therapies incorporate prism glasses or mirror therapy to enhance spatial perception. In cases of severe neglect, multidisciplinary interventions involving physiotherapists, speech therapists, and psychologists may be beneficial. While treatment can improve symptoms, some deficits may persist, emphasizing the importance of early detection and tailored rehabilitation programs.