Relationship among CT scans, neurological exam, and neuropsychological test performance in right-brain-damaged stroke patients.
Right-hemisphere stroke rehabilitation inpatients were assessed by: (1) CT scans; (2) neurological exam; and (3) cognitive and affective psychometric measures. Damage to temporal, parietal, and occipital regions was associated with visual-spatial impairments. Surprisingly, parietal damage was no more related than temporal and occipital damage to severity of visual inattention. While the neurologist's ratings of lability and depression were related to CT-scan measures, patients' self-report of depression was not so related. These findings support a less specific and probably greater interlobule organization of the right, as compared with left, hemisphere, and highlight the need for multifaceted affective assessment in such a brain-damaged group.
Egelko
S
S
Rusk Institute of Rehabilitation Medicine, New York.
Gordon
W A
WA
Hibbard
M R
MR
Diller
L
L
Lieberman
A
A
Holliday
R
R
Ragnarsson
K
K
Shaver
M S
MS
Orazem
J
J
D001921:Brain / Q000473:pathology; D001925:Brain Damage, Chronic / Q000175:diagnosis*; D002561:Cerebrovascular Disorders / Q000175:diagnosis*; D004292:Dominance, Cerebral / Q000502:physiology; D006423:Hemianopsia / Q000175:diagnosis; D006429:Hemiplegia / Q000175:diagnosis; D006801:Humans; D019964:Mood Disorders / Q000175:diagnosis; D019965:Neurocognitive Disorders / Q000175:diagnosis; D009460:Neurologic Examination; D009483:Neuropsychological Tests; D011594:Psychometrics; D014057:Tomography, X-Ray Computed