Fluctuation in spontaneous recovery of left visual neglect: A 1-year follow-up
Fluctuation in spontaneous recovery of left visual neglect: A 1-year follow-up
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DOI：
10.1159/000107941
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发表时间：
2007-01-01
影响因子：
2.4
通讯作者：
Ahonen, J.-P.
中科院分区：
文献类型：
--
作者：
Jehkonen, M.;Laihosalo, M.;Ahonen, J.-P.
在发病后10天、3个月、6个月和12个月检查左视忽视的自发恢复和可能的波动，及其与中风严重程度、基本日常生活活动（ADL）和延长ADL的关系。56例右脑卒中患者中有21例存在视觉忽视。确定了三个视觉忽视恢复组：连续、波动和不良恢复。我们集中比较了连续恢复组和波动恢复组。在急性期，波动恢复组有更大的梗死，更严重的忽视和卒中，与连续恢复组相比，基本ADL水平较低。在连续恢复组中，在长达6个月的时间内检测到稳定的恢复，而在波动恢复组中，在忽视和延长的ADL中恢复是不连贯的。由于视觉忽视可能出现波动，建议忽视患者至少随访6个月，包括延长ADL的评估。版权所有(c) 2007 S. Karger AG，巴塞尔。
Spontaneous recovery and possible fluctuation in left visual neglect, and its relation to stroke severity, basic activities of daily living (ADL) and extended ADL were examined at 10 days, at 3, 6, and 12 months after onset. Twenty-one of 56 right hemisphere stroke patients had visual neglect. Three visual neglect recovery groups were identified: continuous, fluctuating and poor recovery. We concentrated on the comparison of the continuous and the fluctuating recovery groups. At the acute phase the fluctuating recovery group had larger infarcts, more severe neglect and stroke, and a lower level of basic ADL compared to the continuous recovery group. In the continuous recovery group stable recovery was detected up to 6 months, whereas in the fluctuating recovery group recovery was incoherent in neglect and in extended ADL. A minimum follow-up period of 6 months including the evaluation of extended ADL is recommended for neglect patients due to possible fluctuation in visual neglect. Copyright (c) 2007 S. Karger AG, Basel.