Disturbances in body awareness offer important insights into neurocognitive processes involved in the construction of the bodily self. This review will focus on a specific disorder of awareness, namely, anosognosia for hemiplegia (AHP), or the denial of motor deficits contralateral to a brain lesion. Recently some progress has been made towards the management and rehabilitation of AHP, however ...

T the best of current knowledge, the first hemispherectomy (HSPY) was undertaken in 1923 by Dr. Walter Dandy.1 It was reported independently in 1928 by L̓ Hermitte.2 These initial HSPY operations were utilized as a surgical treatment of cerebral gliomas. The initial optimism of potentially curing malignant gliomas led others to use the procedure for these tumors.3-7 Other than perhaps a question...

background: constraint induced movement therapy is one of the new therapeutic interventions that limits the performance of intact upper limb with increased use of the affected limb. aim of this study was to investigate the effects of  modified constraint induced movement therapy on weight bearing & protective extension in children with hemiplegic cerebral palsy. methods: 21 hemiplegic children ...

Abstract The syndrome of anosognosia for hemiplegia, or the lack awareness one’s paralysis following right hemisphere stroke, can provide unique insights into neurocognitive mechanisms self-awareness. Yet it remains unclear whether hemiplegia is a modality-specific deficit sensorimotor monitoring, domain-general processes attention and belief-updating converge to cause hemiplegia. Using Bayesia...

A 51-year-old man showed hemiplegia on his right side after a traumatic brain injury (TBI). On initial brain computed tomography (CT) scan, an acute subdural hemorrhage in the right cerebral convexity and severe degrees of midline shifting and subfalcine herniation to the left side were evident. On follow-up brain magnetic resonance imaging (MRI), there were multiple microhemorrhages in the lef...

OBJECTIVE To describe a new clinical sign associated with left unilateral neglect syndrome (UNS) in patients with ischemic stroke. METHOD Head computed tomography (CT) and National Institute of Health Stroke Scale were obtained in 150 patients with ischemic stroke. Those with right cerebral vascular lesions, left hemiplegia and right leg persistently crossed over the left were submitted to sp...

Development of a painful shoulder in the hemiplegic patient is a significant and serious problem, because it can limit the patient's ability to reach his or her maximum functional potential. Several etiologies of shoulder pain have been identified, such as immobilization of the upper extremity, trauma to the joint structures, including brachial plexus injuries, and subluxation of the gleno-hume...

OBJECTIVE The aim of this study was to assess neuromotor function at school age in children who had cerebral infarction on neonatal magnetic resonance imaging (MRI). DESIGN Twenty-two children with evidence of cerebral infarction on neonatal brain MRI (18 with arterial infarction and 4 with border-zone lesions) were assessed at school age with a structured neurologic examination and the Movem...

PURPOSE  Visual perception difficulties are common in children with cerebral palsy - hemiplegia, however it is not known which assessment tool is the best for this population. This systematic review evaluates the clinimetric properties of visual perception assessments for children with hemiplegia. METHOD Databases were searched for assessments that: (i) measured visual perception; (ii) were r...

Neglect and related phenomena, as anosognosia for hemiplegia and somatoparaphrenia, are often associated to right-hemisphere lesions. These deficits can be alleviated by caloric vestibular stimulation, but little is known about the efficacy of this physiological intervention on neglect following left-hemisphere lesions. Here we report the case of an ambidextrous left brain-damaged patient with ...