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Neurology 2002;58:1692-1694
© 2002 American Academy of Neurology
Brief Communications

The contribution of an avoidance response to contralateral neglect

Matthew H. Kodsi, MD PhD and Kenneth M. Heilman, MD

From the Department of Neurology, Brain Institute, University of Florida Health Sciences Center, Gainesville; and Neurology Service, Department of Veterans Affairs Medical Center, Gainesville, FL.

Address correspondence and reprint requests to Dr. Matthew H. Kodsi, Department of Neurology, University of Florida, P.O. Box 100236, Gainesville, FL 32610; e-mail: mkodsi{at}ufl.edu

Displacement of line bisection to the right of midline in a patient with a right hemisphere lesion has been attributed to either contralesional attentional or intentional hemispatial neglect. However, it has been suggested that patients with hemispheric lesions might also have an avoidance response, and the ipsilesional eye and hand deviation attributed to neglect might, at least in part, be related to this response. The authors report a patient with a net contralateral neglect produced by the combination of intention and avoidance factors.