Unilateral spatial neglect following right inferior parietal cortectomy

Epilepsy Behav. 2004 Jun;5(3):416-9. doi: 10.1016/j.yebeh.2004.02.008.

Abstract

Research in brain-damaged patients has suggested that the right hemisphere plays a role in unilateral spatial neglect (USN), but provides only limited information for pinpointing the intraparietal localization of the lesions associated with this syndrome. We report a case of unilateral neglect in a patient who underwent a right inferior parietal cortectomy for refractory epilepsy without any macroscopic lesion. We describe the evolution of the neuropsychological disturbances observed at 3 and 24 months after cortectomy. This case illustrates the role played by the inferior parietal lobe and, particularly, the parietal opercule in USN syndrome, and provides strong "experimental" evidence of the special role played by the inferior parietal lobule in the perception processes related to spatial attention.

Publication types

  • Case Reports
  • Comparative Study

MeSH terms

  • Epilepsy / complications*
  • Epilepsy / surgery*
  • Female
  • Functional Laterality / physiology
  • Humans
  • Middle Aged
  • Neuropsychological Tests / statistics & numerical data
  • Neurosurgical Procedures / adverse effects*
  • Parietal Lobe / physiopathology
  • Parietal Lobe / surgery*
  • Perceptual Disorders / etiology*
  • Spatial Behavior / physiology
  • Time Factors