Differential diagnosis of motor neglect

Motor neglect disorder (motorneglect) patients only use health search one hand is often the right hand to do things, and gestures and the other hand is usually the left hand, seems to be forgotten and put it aside, so that when walking, the affected arm health search does not swing or rarely swing health search, like hemiplegic Parkinson’s disease patients, when the affected arm is in a very uncomfortable position also remain for a long time immobility. Neglect of the lower extremities is manifested by the affected side often bumping into obstacles when walking, and when a pair of shoes is placed in front of him and he is asked to put them on, only one of the healthy side is put on and the affected side is neglected. What are the symptoms that are easily confused with it? 1, sensory neglect syndrome Sensory neglect syndrome, also known as hemi-inattention, can be somatosensory, visual or auditory, when the patient can not orient to the stimulus from the side of the lesion, can not respond or report; the patient’s lesion has not destroyed the sensory afferent pathway, nor damage to the primary sensory cortex or thalamic sensory nuclei. Sensory neglect is usually manifested in the form of sensoryextinction. The definition of sensoryextinction is that the patient does not feel the stimulus on one side when the stimulus is given to both sides equally, but the patient can feel it when the stimulus is given to the left and right side respectively. 2.Lateral spatial neglect, also known as hemispatialinattention or unilateralvisualneglect. Lateral spatial neglect is often accompanied by left-sided isotropic hemianopia, but the latter is not essential. Patients with lateral spatial neglect show inattention to things on one side, often the left side of the visual field: he is asked to read the right half of a newspaper column headline and ignores the left half; he is asked to count the number of people standing in front of his hospital bed and he only counts those standing on the right and in front, ignoring those on the left. 3. Vertical neglect The patient could not see the lower half of the object directly in front of him, and when the vertical wooden pole was tested with visual, tactile, and visual-touch parity, the midpoint referred to by the patient was significantly shifted upward compared with normal controls. Bilateral damage to the parieto-occipital lobe may result in polymorphic neglect in the vertical plane.