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NEUROLOGY 1983;33:345
© 1983 American Academy of Neurology

Recovery of behavioral abnormalities after right hemisphere stroke

Daniel B. Hier, MD, Janice Mondlock, BA and Louis R. Caplan, MD

Department of Neurology, Michael Reese Hospital and Medical Center, Chicago, IL.

We studied recovery of function in 41 patients with right hemisphere stroke. Recovery was rapid for left neglect, prosopagnosia, anosognosia. and unilateral spatial neglect on drawing (USN). Recovery was slower for hcmianopia. hemiparesis, motor impersistence, and extinction. Rates of recovery were intermediate for constructional apraxia and dressing apraxia. Sex had no influence on the rate of recovery. Younger patients recovered from prosopagnosia more rapidly than older patients. Patients with smaller lesions recovered more quickly from anosognosia, USN, and hemiparcsis than patients with larger lesions. Patients with hemorrhages recovered more rapidly from constructional apraxia, neglect, and motor impersistence than patients with infarcts. Recovery of function and the factors influencing recovery can by studied systematically by life table methods.

Address correspondence and reprint requests to Dr. Hier. Department of Neurology, Michael Reese Hospital and Medical Center, Chicago, IL 60616.

Supported by a grant from the AMOCO Foundation.

Accepted for publication, July 20, 1982.




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