The Presence of Visual Neglect after Thrombolytic Treatment in Patients with Right Hemisphere Stroke

Visual neglect (VN) is a common consequence of right hemisphere (RH) stroke. The aims of this study were to explore the presence of VN after RH stroke in the patients with (T+) or without (T-) thrombolytic treatment, and to determine whether thrombolysis is a predictor of VN. The study group consisted of 77 RH infarct patients. VN was evaluated with six conventional subtests of the Behavioural Inattention Test (BIT). Stroke severity was assessed using the National Institute of Health Stroke Scale (NIHSS). In the neuropsychological examination, 22% of all RH stroke patients had VN. VN was present in 15% of the patients in the T+ group and in 28% of the patients in the T- group, but the difference was not statistically significant. Despite that, patients in the T- group had a higher risk of VN than patients in the T+ group. Our results suggest that thrombolysis independently predicted absence of VN.