Rehabilitation of patients with anosognosia for hemiplegia due to intracerebral haemorrhage.
We have studied the differences in the lesions, concomitant symptoms and ADL levels in patients in acute-stage cerebral-haemorrhage and manifesting anosognosia. Twelve of 50 patients (24.0%) presented with anosognosia. The (+) group had longer intervals between onset and the first evaluation than did the (-) group, demonstrating severe sensory disturbance. The volume of haemorrhage was significantly larger in the (+) group. Anosognosia disappeared within 3 months in all cases. In the (+) group the time until discharge was long, with the ADL level at the time of discharge being low. Therefore, it was considered that anosognosia was important as an inhibitory factor hampering rehabilitation.
Maeshima
S
S
Department of Neurological Surgery, Wakayama Medical College, Japan.
Dohi
N
N
Funahashi
K
K
Nakai
K
K
Itakura
T
T
Komai
N
N
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000377:Agnosia / Q000209:etiology* / Q000473:pathology; D002543:Cerebral Hemorrhage / Q000150:complications*; D016009:Chi-Square Distribution; D005260:Female; D005500:Follow-Up Studies; D006429:Hemiplegia / Q000150:complications / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D011446:Prospective Studies; D012075:Remission, Spontaneous; D012647:Self-Assessment; D012678:Sensation Disorders / Q000150:complications