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Psychiatric sequelae of stroke affecting the non-dominant cerebral hemisphere.

Publication ,  Journal Article
Guo, C; Stretz, C; Anderson, JR; El-Husseini, N; Mac Grory, B; Werner, B; Yarnell, S
Published in: J Neurol Sci
November 15, 2021

There are a plethora of cognitive sequelae in addition to neglect and extinction that arise with unilateral right hemispheric stroke (RHS). Cognitive deficits following non-dominant (right) hemisphere stroke are common with unilateral neglect and extinction being the most recognized examples. The severity of RHS is usually underestimated by the National Institutes of Health Stroke Scale (NIHSS), which in terms of lateralized right hemisphere cognitive deficits, tests only for visual inattention/extinction. They account for 2 out of 42 total possible points. Additional neuropsychiatric sequelae include but are not limited to deficiencies in affective prosody comprehension and production (aprosodias), understanding and expressing facial emotions, empathy, recognition of familiar faces, anxiety, mania, apathy, and psychosis. These sequelae have a profound impact on patients' quality of life; affecting communication, interpersonal relationships, and the ability to fulfill social roles. They also pose additional challenges to recovery. There is presently a gap in the literature regarding a cohesive overview of the significant cognitive sequelae following RHS. This paper serves as a narrative survey of the current understanding of the subject, with particular emphasis on neuropsychiatric poststroke syndromes not predominantly associated with left hemisphere lesions (LHL), bilateral lesions, hemiplegia, or paralysis. A more comprehensive understanding of the neuropsychological consequences of RHS extending beyond the typical associations of unilateral neglect and extinction may have important implications for clinical practice, including the ways in which clinicians approach diagnostics, treatment, and rehabilitation.

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Published In

J Neurol Sci

DOI

EISSN

1878-5883

Publication Date

November 15, 2021

Volume

430

Start / End Page

120007

Location

Netherlands

Related Subject Headings

  • Stroke
  • Quality of Life
  • Perceptual Disorders
  • Neuropsychological Tests
  • Humans
  • Hemiplegia
  • Functional Laterality
  • Cerebrum
  • 5202 Biological psychology
  • 3209 Neurosciences
 

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MLA
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Guo, C., Stretz, C., Anderson, J. R., El-Husseini, N., Mac Grory, B., Werner, B., & Yarnell, S. (2021). Psychiatric sequelae of stroke affecting the non-dominant cerebral hemisphere. J Neurol Sci, 430, 120007. https://doi.org/10.1016/j.jns.2021.120007
Guo, Cynthia, Christoph Stretz, Jordan Roderick Anderson, Nada El-Husseini, Brian Mac Grory, Blake Werner, and Stephanie Yarnell. “Psychiatric sequelae of stroke affecting the non-dominant cerebral hemisphere.J Neurol Sci 430 (November 15, 2021): 120007. https://doi.org/10.1016/j.jns.2021.120007.
Guo C, Stretz C, Anderson JR, El-Husseini N, Mac Grory B, Werner B, et al. Psychiatric sequelae of stroke affecting the non-dominant cerebral hemisphere. J Neurol Sci. 2021 Nov 15;430:120007.
Guo, Cynthia, et al. “Psychiatric sequelae of stroke affecting the non-dominant cerebral hemisphere.J Neurol Sci, vol. 430, Nov. 2021, p. 120007. Pubmed, doi:10.1016/j.jns.2021.120007.
Guo C, Stretz C, Anderson JR, El-Husseini N, Mac Grory B, Werner B, Yarnell S. Psychiatric sequelae of stroke affecting the non-dominant cerebral hemisphere. J Neurol Sci. 2021 Nov 15;430:120007.
Journal cover image

Published In

J Neurol Sci

DOI

EISSN

1878-5883

Publication Date

November 15, 2021

Volume

430

Start / End Page

120007

Location

Netherlands

Related Subject Headings

  • Stroke
  • Quality of Life
  • Perceptual Disorders
  • Neuropsychological Tests
  • Humans
  • Hemiplegia
  • Functional Laterality
  • Cerebrum
  • 5202 Biological psychology
  • 3209 Neurosciences