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Contralesional Trunk Rotation Dissociates Real vs. Pseudo-Visual Field Defects due to Visual Neglect in Stroke Patients

Overview of attention for article published in Frontiers in Neurology, August 2017
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Title
Contralesional Trunk Rotation Dissociates Real vs. Pseudo-Visual Field Defects due to Visual Neglect in Stroke Patients
Published in
Frontiers in Neurology, August 2017
DOI 10.3389/fneur.2017.00411
Pubmed ID
Authors

Thomas Nyffeler, Rebecca E. Paladini, Simone Hopfner, Oliver Job, Tobias Nef, Tobias Pflugshaupt, Tim Vanbellingen, Stephan Bohlhalter, René M. Müri, Georg Kerkhoff, Dario Cazzoli

Abstract

In stroke patients, the clinical presentation of visual field defects (VFDs) is frequently accompanied by visual neglect, i.e., the inability to attend and respond to the contralesional space. However, the diagnostic discrimination between the lack of reactions to contralesional stimuli due to VFDs or visual neglect is challenging during clinical examination. This discrimination is particularly relevant, since both clinical pictures are associated with different therapeutic approaches and outcomes. The aim of this study was to systematically investigate the effectiveness of trunk rotation toward the contralesional side-a manipulation dissociating the coordinate system of the trunk from that of the head and eyes-in disentangling real VFDs from "pseudo-VFDs" that occur due to visual neglect. Twenty patients with a left-sided VFD after a right-hemispheric stroke (10 additionally showing visual neglect in neuropsychological testing, VFD + neglect; 10 without neglect, VFD) were tested with Goldmann perimetry in both standard and trunk rotation conditions. In the standard condition, both VFD and VFD + neglect patients showed a conspicuous narrowing of the left visual field. However, trunk rotation triggered strikingly different patterns of change in the two groups: it elicited a significant increase in visual field extension in the VFD + neglect group, but left visual field extension virtually unchanged in the VFD group. Our results highlight contralesional trunk rotation as a simple, viable manipulation to effectively and rapidly disentangle real VFDs from "pseudo-VFDs" (i.e., due to visual neglect) during clinical examination.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 34 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 34 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 8 24%
Student > Master 6 18%
Other 4 12%
Student > Ph. D. Student 4 12%
Student > Doctoral Student 3 9%
Other 2 6%
Unknown 7 21%
Readers by discipline Count As %
Neuroscience 6 18%
Medicine and Dentistry 5 15%
Nursing and Health Professions 4 12%
Psychology 3 9%
Social Sciences 1 3%
Other 3 9%
Unknown 12 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 August 2017.
All research outputs
#20,442,790
of 22,997,544 outputs
Outputs from Frontiers in Neurology
#8,907
of 11,895 outputs
Outputs of similar age
#278,247
of 318,832 outputs
Outputs of similar age from Frontiers in Neurology
#159
of 212 outputs
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