Basal ganglia accounts to most common site of hemorrhagic stroke (50%). Right hemisphere lesions that are restricted to basal ganglia are responsible for perceptual disorders such as unilateral neglect. Unilateral Neglect is a very common perceptual disorder that occurs after stroke. Unilateral neglect when compared to the stroke severity results in poor overall recovery. It may involve longer hospitalization period, functional dependency, long term disability in ADLs as well as increased risk of falls. Postural imbalance is more prevalent with right hemisphere lesions. Stroke survivors with right hemisphere damage have less ability to ambulate. As the stroke patient’s balance is impaired and can lead to serious consequences like falls. So, if we know the questions related to balance and gait in stroke patients then it would be very important for us to understand these two physical capabilities among the hemiparetic subjects. It is therefore believed that it will lead to a better direction regarding the rehabilitation of these stroke patients. The case report presented here describes the clinical presentation of a right basal ganglia bleed patient who had unilateral neglect.
Part of the book: Neurorehabilitation and Physical Therapy