The influence of unilateral visual neglect on functional status after stroke was investigated in 40 patients. The 11 subjects with visual neglect were of similar age and pre-stroke dependency as the 22 subjects without unilateral visual neglect. but had a more severe current stroke deficits a evidenced by a higher incidence of incontinence, homonymous hemianopsia. lower minimental state score. Subjects with unilateral neglect had poorer functional outcome than those without neglect as measured by Modified Barthel Index. PULSES profile and the incidence of returning to social role. Poor functional outcome was observed in both ADL and transfer activity, the difference of functional outcome between the two groups was more distinct at 3 month after onset than at 1 month after onset. We can suggest that unilateral visual neglect appear in more severe stroke patients and in patients with unilateral visual neglect, the prognosis should be poor. |