title: Incidence, Risk Factors and Anatomy of Peripersonal Visuospatial Neglect in Acute Stroke.
abstract: OBJECTIVE
  The study aims to describe the epidemiology and the neural correlates of peripersonal visuospatial neglect (PVN) in patients admitted to the Geneva Stroke Unit for an acute stroke or a transient ischemic attack (TIA).
  
  
  METHODS
  Eligible subjects were tested for PVN using both the Ota's discriminative cancellation task and a line bisection task. Brain lesions were identified on diffusion-weighted imaging. A multivariate analysis was performed to identify risk factors of PVN.
  
  
  RESULTS
  Ninety-eight consecutive patients (40.8% females) were recruited: 64 cases of ischemic stroke, 9 cases of hemorrhagic stroke and 25 cases of TIAs. The mean age was 61.9 ± 2.86 years. The incidence of PVN was 23.5% (95% CI 15.5-33.1) and was not significantly different between patients with right and left hemisphere stroke. There were 5 cases of ipsilesional neglect. There was no association between PVN and age, sex, stroke severity, handedness, lesion type, lesion volume and time to first examination. Lesions of temporal and parietal lobes were the most frequent in patients with PVN.
  
  
  CONCLUSIONS
  PVN has a low incidence in the acute stroke settings and there is no particular predictor of its presence. It is most often associated with temporo-parietal lesions.
authors.affiliation: Neurology Division, Department of Clinical Neurosciences, Geneva University Hospital, Geneva, Switzerland.
authors.forename: Joseph
authors.initials: J
authors.lastname: Kamtchum Tatuene
authors.forename: Gilles
authors.initials: G
authors.lastname: Allali
authors.forename: Arnaud
authors.initials: A
authors.lastname: Saj
authors.forename: Thérèse
authors.initials: T
authors.lastname: Bernati
authors.forename: Roman
authors.initials: R
authors.lastname: Sztajzel
authors.forename: Pierre
authors.initials: P
authors.lastname: Pollak
authors.forename: Isabelle
authors.initials: I
authors.lastname: Momjian-Mayor
mesh_terms: D000368:Aged; D038524:Diffusion Magnetic Resonance Imaging; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010468:Perceptual Disorders / Q000453:epidemiology* / Q000209:etiology*; D012307:Risk Factors; D020521:Stroke / Q000150:complications* / Q000473:pathology*