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May 1985

Subcortical Neglect: Intentional or Attentional?-Reply

Author Affiliations

Department of Clinical Neurological Sciences St Joseph's Hospital London, Ontario, Canada N6A 4V2

Arch Neurol. 1985;42(5):424. doi:10.1001/archneur.1985.04060050018004

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In Reply.  —Dr Viader and colleagues point out in their letter the neglect observed with two cases of right posterior capsular infarction. They distinguish between attentional and intentional neglect and consider their cases attentional in contrast to ours. This is difficult to judge from such a short description. For instance, no distinction is apparent between purely visually controlled or verbally controlled activity in their cases. Our patients had no tactile or auditory extinction in contrast to theirs, and they improved on verbal cues and instructions, indicating an intentional rather than attentional disturbance, even though this distinction is subject to interpretation.

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