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Case Report: Visual Deprivation in Pusher Syndrome Complicated by Hemispatial Neglect After Basal Ganglia Stroke

We aimed to explore whether motor function and activities of daily life (ADL) could be improved with the application of visual deprivation in two patients with Pusher syndrome complicated by hemispatial neglect after right basal ganglia stroke. We assessed two stroke patients suffering from severe m...

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Autores principales: Zhang, Qian, Zhang, Lixia, He, Wei, Zheng, Xuemei, Zhao, Zhengrui, Li, Yuanli, Xu, Shutian, Zheng, Juan, Zhuang, Xin, Jia, Wenting, Zhu, Chengyuan, Xu, Hua, Shan, Chunlei, Chen, Wenhua, Zhao, Jingpu, Chen, Sijing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8494178/
https://www.ncbi.nlm.nih.gov/pubmed/34630282
http://dx.doi.org/10.3389/fneur.2021.706611
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author Zhang, Qian
Zhang, Lixia
He, Wei
Zheng, Xuemei
Zhao, Zhengrui
Li, Yuanli
Xu, Shutian
Zheng, Juan
Zhuang, Xin
Jia, Wenting
Zhu, Chengyuan
Xu, Hua
Shan, Chunlei
Chen, Wenhua
Zhao, Jingpu
Chen, Sijing
author_facet Zhang, Qian
Zhang, Lixia
He, Wei
Zheng, Xuemei
Zhao, Zhengrui
Li, Yuanli
Xu, Shutian
Zheng, Juan
Zhuang, Xin
Jia, Wenting
Zhu, Chengyuan
Xu, Hua
Shan, Chunlei
Chen, Wenhua
Zhao, Jingpu
Chen, Sijing
author_sort Zhang, Qian
collection PubMed
description We aimed to explore whether motor function and activities of daily life (ADL) could be improved with the application of visual deprivation in two patients with Pusher syndrome complicated by hemispatial neglect after right basal ganglia stroke. We assessed two stroke patients suffering from severe motor disturbances, both tilting heavily to the left, with diagnoses of Pusher syndrome and left hemispatial neglect. Vision in the left eye was deprived using patches during clinical rehabilitation. Motor function promotion was confirmed using the Burke Lateropulsion Scale (BLS), Fugl–Meyer Balance Scale (FMBS), and Holden grade (HG), while the Barthel index (BI) assessed ADL immediately and 1 week after intervention. Both patients regained standing balance immediately using visual deprivation, as well as walking ability, although both scored 0 on the FMBS and HG. After 1 week of treatment, one patient increased to 11 and 3 on the FMBS and HG, respectively, while the BLS score decreased from 12 to 2, and the ADL increased from 23 to 70. The other patient demonstrated increases to 10 and 3 on the FMBS and HG, respectively, with the BLS decreasing from 13 to 3, and the ADL increasing from 25 to 60. Therefore, in the rehabilitation treatment of Pusher syndrome complicated by hemispatial neglect due to basal ganglia stroke, visual deprivation can significantly improve motor function and shorten the treatment course.
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spelling pubmed-84941782021-10-07 Case Report: Visual Deprivation in Pusher Syndrome Complicated by Hemispatial Neglect After Basal Ganglia Stroke Zhang, Qian Zhang, Lixia He, Wei Zheng, Xuemei Zhao, Zhengrui Li, Yuanli Xu, Shutian Zheng, Juan Zhuang, Xin Jia, Wenting Zhu, Chengyuan Xu, Hua Shan, Chunlei Chen, Wenhua Zhao, Jingpu Chen, Sijing Front Neurol Neurology We aimed to explore whether motor function and activities of daily life (ADL) could be improved with the application of visual deprivation in two patients with Pusher syndrome complicated by hemispatial neglect after right basal ganglia stroke. We assessed two stroke patients suffering from severe motor disturbances, both tilting heavily to the left, with diagnoses of Pusher syndrome and left hemispatial neglect. Vision in the left eye was deprived using patches during clinical rehabilitation. Motor function promotion was confirmed using the Burke Lateropulsion Scale (BLS), Fugl–Meyer Balance Scale (FMBS), and Holden grade (HG), while the Barthel index (BI) assessed ADL immediately and 1 week after intervention. Both patients regained standing balance immediately using visual deprivation, as well as walking ability, although both scored 0 on the FMBS and HG. After 1 week of treatment, one patient increased to 11 and 3 on the FMBS and HG, respectively, while the BLS score decreased from 12 to 2, and the ADL increased from 23 to 70. The other patient demonstrated increases to 10 and 3 on the FMBS and HG, respectively, with the BLS decreasing from 13 to 3, and the ADL increasing from 25 to 60. Therefore, in the rehabilitation treatment of Pusher syndrome complicated by hemispatial neglect due to basal ganglia stroke, visual deprivation can significantly improve motor function and shorten the treatment course. Frontiers Media S.A. 2021-09-22 /pmc/articles/PMC8494178/ /pubmed/34630282 http://dx.doi.org/10.3389/fneur.2021.706611 Text en Copyright © 2021 Zhang, Zhang, He, Zheng, Zhao, Li, Xu, Zheng, Zhuang, Jia, Zhu, Xu, Shan, Chen, Zhao and Chen. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Zhang, Qian
Zhang, Lixia
He, Wei
Zheng, Xuemei
Zhao, Zhengrui
Li, Yuanli
Xu, Shutian
Zheng, Juan
Zhuang, Xin
Jia, Wenting
Zhu, Chengyuan
Xu, Hua
Shan, Chunlei
Chen, Wenhua
Zhao, Jingpu
Chen, Sijing
Case Report: Visual Deprivation in Pusher Syndrome Complicated by Hemispatial Neglect After Basal Ganglia Stroke
title Case Report: Visual Deprivation in Pusher Syndrome Complicated by Hemispatial Neglect After Basal Ganglia Stroke
title_full Case Report: Visual Deprivation in Pusher Syndrome Complicated by Hemispatial Neglect After Basal Ganglia Stroke
title_fullStr Case Report: Visual Deprivation in Pusher Syndrome Complicated by Hemispatial Neglect After Basal Ganglia Stroke
title_full_unstemmed Case Report: Visual Deprivation in Pusher Syndrome Complicated by Hemispatial Neglect After Basal Ganglia Stroke
title_short Case Report: Visual Deprivation in Pusher Syndrome Complicated by Hemispatial Neglect After Basal Ganglia Stroke
title_sort case report: visual deprivation in pusher syndrome complicated by hemispatial neglect after basal ganglia stroke
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8494178/
https://www.ncbi.nlm.nih.gov/pubmed/34630282
http://dx.doi.org/10.3389/fneur.2021.706611
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