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Hemispatial neglect — DGM MCQ

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HardStroke and rehabilitationHemispatial neglectDGM

An 84-year-old woman recovering from right hemispheric stroke eats food from one side of the plate and bumps into the left side of doorways. Visual fields are difficult to assess, and she denies any problem. There is no new weakness. What is the most likely diagnosis?

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Correct answer: D — Left hemispatial neglect

Right hemispheric stroke can cause left hemispatial neglect, characterised by inattention to one side and poor awareness. Homonymous hemianopia can coexist, but bumping and plate neglect with anosognosia favour neglect. Recognising neglect changes therapy strategies and safety planning.

Reference: NICE NG236