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May 1985

Subcortical Neglect: Intentional or Attentional?

Author Affiliations

Clinique Neurologique Hôpital Beaujon 100 bd du Général Leclerc 92110 Clichy, France

Arch Neurol. 1985;42(5):423-424. doi:10.1001/archneur.1985.04060050017003

To the Editor.  —We read with interest the report by Ferro and Kertesz1 concerning a posterior internal capsule infarction associated with neglect. Their case is very similar to two of four cases of the anterior choroidal artery syndrome reported by three of us (cases 1 and 2).2,3 Both of these patients had a complete left hemipleOutcome in unoperated patients with asymptomatic carotid stenosis (solid line), compared with hypothetical results of surgery where combined stroke and death rates are 3% or 15%. gia, anesthesia, and homonymous hemianopia following a right posterior capsular infarction. However, their left hemispatial neglect syndrome was of the attentional rather than of the intentional type. Spontaneous drawings were always better than copy, where the left half of models was omitted. Likewise, left neglect appeared in picture description, but the patients correctly placed cities on a map. Neglect was especially important in reading, since the

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