Visual vertical neglect in acquired brain injury: a systematic review
Vertical neglect represents a visuospatial deficit occurring as a possible consequence of acquired brain injury (ABI). Differently from unilateral spatial neglect on horizontal space, vertical neglect is poorly studied in the literature and rarely assessed in clinical practice. In the available stud...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-03-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1360057/full |
| _version_ | 1827320820192509952 |
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| author | Pasquale Moretta Nicola Davide Cavallo Eleonora Fonzo Antonio Maiorino Cesario Ferrante Pasquale Ambrosino Cinzia Femiano Gabriella Santangelo Laura Marcuccio |
| author_facet | Pasquale Moretta Nicola Davide Cavallo Eleonora Fonzo Antonio Maiorino Cesario Ferrante Pasquale Ambrosino Cinzia Femiano Gabriella Santangelo Laura Marcuccio |
| author_sort | Pasquale Moretta |
| collection | DOAJ |
| description | Vertical neglect represents a visuospatial deficit occurring as a possible consequence of acquired brain injury (ABI). Differently from unilateral spatial neglect on horizontal space, vertical neglect is poorly studied in the literature and rarely assessed in clinical practice. In the available studies, the terms “radial,” “vertical,” and “altitudinal” neglect are often used interchangeably, although they do not describe the same spatial dimension. “Altitudinal” and “vertical” refer to the sagittal plane, whereas “radial” refers to the transverse plane. The term “vertical” is sometimes used interchangeably with respect to both axes. The aim of this systematic review was to identify the main characteristics of vertical neglect after ABI, the diagnostic tools used, and the treatment options. We also proposed a clarification of the manifestations and characteristics of vertical and radial neglect. The 23 articles reviewed, showed that the vertical neglect occurred more frequently on the lower space than on the upper space, that its presence was associated with horizontal neglect, and that it could also occur with compromise of the radial space, with the near radial being more common. The most frequent etiology associated with vertical neglect is vascular, particularly ischaemic. The lesions side are very heterogeneous and include both cortical and subcortical areas and all lobes, although the temporal lobe is most affected. With regard to the assessment tools, paper and pencil tasks are the most commonly used diagnostic tools to identify vertical neglect, although in recent years the use of computer-based tasks increased. Taken together, our results suggest that vertical neglect may be underestimated in patients with right hemisphere lesions and should always be assessed, especially in cases where the patient shows signs of horizontal neglect. The clinical assessment of vertical neglect is very important since it can lead to important functional limitations in everyday life, such as poor wheelchair handling, stumbling over unnoticed obstacles located below (or above), walking down stairs, taking off shoes. |
| first_indexed | 2024-04-25T00:53:44Z |
| format | Article |
| id | doaj.art-4a90d3de23584a809331a9440e8cab0b |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-04-25T00:53:44Z |
| publishDate | 2024-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-4a90d3de23584a809331a9440e8cab0b2024-03-11T12:50:16ZengFrontiers Media S.A.Frontiers in Psychology1664-10782024-03-011510.3389/fpsyg.2024.13600571360057Visual vertical neglect in acquired brain injury: a systematic reviewPasquale Moretta0Nicola Davide Cavallo1Eleonora Fonzo2Antonio Maiorino3Cesario Ferrante4Pasquale Ambrosino5Cinzia Femiano6Gabriella Santangelo7Laura Marcuccio8Istituti Clinici Scientifici Maugeri IRCCS, Neuromotor Rehabilitation Unit of Telese Terme Institute, Benevento, ItalyDepartment of Psychology, Università della Campania ‘Luigi Vanvitelli’, Caserta, ItalyDepartment of Psychology, Università della Campania ‘Luigi Vanvitelli’, Caserta, ItalyIstituti Clinici Scientifici Maugeri IRCCS, Neuromotor Rehabilitation Unit of Telese Terme Institute, Benevento, ItalyIstituti Clinici Scientifici Maugeri IRCCS, Neuromotor Rehabilitation Unit of Telese Terme Institute, Benevento, ItalyIstituti Clinici Scientifici Maugeri IRCCS, Scientific Directorate of Telese Terme Institute, Benevento, ItalyIstituti Clinici Scientifici Maugeri IRCCS, Neuromotor Rehabilitation Unit of Telese Terme Institute, Benevento, ItalyDepartment of Psychology, Università della Campania ‘Luigi Vanvitelli’, Caserta, ItalyIstituti Clinici Scientifici Maugeri IRCCS, Neuromotor Rehabilitation Unit of Telese Terme Institute, Benevento, ItalyVertical neglect represents a visuospatial deficit occurring as a possible consequence of acquired brain injury (ABI). Differently from unilateral spatial neglect on horizontal space, vertical neglect is poorly studied in the literature and rarely assessed in clinical practice. In the available studies, the terms “radial,” “vertical,” and “altitudinal” neglect are often used interchangeably, although they do not describe the same spatial dimension. “Altitudinal” and “vertical” refer to the sagittal plane, whereas “radial” refers to the transverse plane. The term “vertical” is sometimes used interchangeably with respect to both axes. The aim of this systematic review was to identify the main characteristics of vertical neglect after ABI, the diagnostic tools used, and the treatment options. We also proposed a clarification of the manifestations and characteristics of vertical and radial neglect. The 23 articles reviewed, showed that the vertical neglect occurred more frequently on the lower space than on the upper space, that its presence was associated with horizontal neglect, and that it could also occur with compromise of the radial space, with the near radial being more common. The most frequent etiology associated with vertical neglect is vascular, particularly ischaemic. The lesions side are very heterogeneous and include both cortical and subcortical areas and all lobes, although the temporal lobe is most affected. With regard to the assessment tools, paper and pencil tasks are the most commonly used diagnostic tools to identify vertical neglect, although in recent years the use of computer-based tasks increased. Taken together, our results suggest that vertical neglect may be underestimated in patients with right hemisphere lesions and should always be assessed, especially in cases where the patient shows signs of horizontal neglect. The clinical assessment of vertical neglect is very important since it can lead to important functional limitations in everyday life, such as poor wheelchair handling, stumbling over unnoticed obstacles located below (or above), walking down stairs, taking off shoes.https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1360057/fullvisual vertical neglectvisuospatial disordersacquired brain injuryrehabilitationclinical neuropsychology |
| spellingShingle | Pasquale Moretta Nicola Davide Cavallo Eleonora Fonzo Antonio Maiorino Cesario Ferrante Pasquale Ambrosino Cinzia Femiano Gabriella Santangelo Laura Marcuccio Visual vertical neglect in acquired brain injury: a systematic review Frontiers in Psychology visual vertical neglect visuospatial disorders acquired brain injury rehabilitation clinical neuropsychology |
| title | Visual vertical neglect in acquired brain injury: a systematic review |
| title_full | Visual vertical neglect in acquired brain injury: a systematic review |
| title_fullStr | Visual vertical neglect in acquired brain injury: a systematic review |
| title_full_unstemmed | Visual vertical neglect in acquired brain injury: a systematic review |
| title_short | Visual vertical neglect in acquired brain injury: a systematic review |
| title_sort | visual vertical neglect in acquired brain injury a systematic review |
| topic | visual vertical neglect visuospatial disorders acquired brain injury rehabilitation clinical neuropsychology |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1360057/full |
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