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Catherine Bergego Scale – Functional Neglect Assessment — SCE Neurology MCQ

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ModerateNeurorehabilitationCatherine Bergego Scale – Functional Neglect AssessmentSCE Neurology

A 60-year-old man with a right hemisphere stroke has left hemispatial neglect. He is now 12 months post-stroke and the neglect has not resolved. His rehabilitation team wants to assess the impact of neglect on his daily life. What specific functional assessment is most appropriate?

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Correct answer: E — Catherine Bergego Scale (CBS) — a standardised assessment of neglect in everyday functional activities (eating, dressing, grooming, mobility, conversation, navigation) rated by both the patient and therapist

The CBS directly measures the functional impact of neglect on 10 everyday activities (eating, grooming, dressing, navigating, collision avoidance, spatial orientation). It is scored by the therapist AND by the patient (the discrepancy between self-assessment and therapist assessment reflects anosognosia for the neglect). A: MMSE assesses cognition globally. C: BDI assesses depression. D: Barthel assesses independence but not neglect-specific impact. E: NIHSS is an acute stroke severity scale.

Reference: RCP Stroke Guidelines; CBS (Bergego et al.)