A new clinical sign probably associated to left hemiplegia with left hemineglect syndrome: the crossed legs

Objective : To describe a new clinical sign associated with left unilateral neglect syndrome (UNS) in patients with ischemic stroke. Method : Head computed tomography (CT) and National Institute of Health Stroke Scale were obtained in 150 patients with ischemic stroke. Those with right cerebral vascular lesions, left hemiplegia and right leg persistently crossed over the left were submitted to specific tests for UNS. The tests were also applied to 30 patients with right cerebral vascular lesions, left hemiplegia but without crossed legs. Results : From 9 patients with persistent tendency to cross the right leg over the left, UNS was detected in 8. One patient died before the clinical tests were applied. Of the 30 patients without the crossed legs, 20 had normal clinical tests for UNS and 10 had minimal alterations, not sufficient for the diagnosis of UNS. Conclusion : The right leg crossed over the left may represent a new neurological semiotic sign associated with left hemiplegia and left UNS.

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Main Authors: Bazan,Rodrigo, Fernandes,Thiago, Braga,Gabriel, Luvizutto,Gustavo, Resende,Luiz
Format: Digital revista
Language:English
Published: Academia Brasileira de Neurologia - ABNEURO 2014
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000600418
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spelling oai:scielo:S0004-282X20140006004182014-06-16A new clinical sign probably associated to left hemiplegia with left hemineglect syndrome: the crossed legsBazan,RodrigoFernandes,ThiagoBraga,GabrielLuvizutto,GustavoResende,Luiz crossed legs hemiplegia spatial neglect syndrome Objective : To describe a new clinical sign associated with left unilateral neglect syndrome (UNS) in patients with ischemic stroke. Method : Head computed tomography (CT) and National Institute of Health Stroke Scale were obtained in 150 patients with ischemic stroke. Those with right cerebral vascular lesions, left hemiplegia and right leg persistently crossed over the left were submitted to specific tests for UNS. The tests were also applied to 30 patients with right cerebral vascular lesions, left hemiplegia but without crossed legs. Results : From 9 patients with persistent tendency to cross the right leg over the left, UNS was detected in 8. One patient died before the clinical tests were applied. Of the 30 patients without the crossed legs, 20 had normal clinical tests for UNS and 10 had minimal alterations, not sufficient for the diagnosis of UNS. Conclusion : The right leg crossed over the left may represent a new neurological semiotic sign associated with left hemiplegia and left UNS. info:eu-repo/semantics/openAccessAcademia Brasileira de Neurologia - ABNEUROArquivos de Neuro-Psiquiatria v.72 n.6 20142014-06-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000600418en10.1590/0004-282X20140043
institution SCIELO
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country Brasil
countrycode BR
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databasecode rev-scielo-br
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region America del Sur
libraryname SciELO
language English
format Digital
author Bazan,Rodrigo
Fernandes,Thiago
Braga,Gabriel
Luvizutto,Gustavo
Resende,Luiz
spellingShingle Bazan,Rodrigo
Fernandes,Thiago
Braga,Gabriel
Luvizutto,Gustavo
Resende,Luiz
A new clinical sign probably associated to left hemiplegia with left hemineglect syndrome: the crossed legs
author_facet Bazan,Rodrigo
Fernandes,Thiago
Braga,Gabriel
Luvizutto,Gustavo
Resende,Luiz
author_sort Bazan,Rodrigo
title A new clinical sign probably associated to left hemiplegia with left hemineglect syndrome: the crossed legs
title_short A new clinical sign probably associated to left hemiplegia with left hemineglect syndrome: the crossed legs
title_full A new clinical sign probably associated to left hemiplegia with left hemineglect syndrome: the crossed legs
title_fullStr A new clinical sign probably associated to left hemiplegia with left hemineglect syndrome: the crossed legs
title_full_unstemmed A new clinical sign probably associated to left hemiplegia with left hemineglect syndrome: the crossed legs
title_sort new clinical sign probably associated to left hemiplegia with left hemineglect syndrome: the crossed legs
description Objective : To describe a new clinical sign associated with left unilateral neglect syndrome (UNS) in patients with ischemic stroke. Method : Head computed tomography (CT) and National Institute of Health Stroke Scale were obtained in 150 patients with ischemic stroke. Those with right cerebral vascular lesions, left hemiplegia and right leg persistently crossed over the left were submitted to specific tests for UNS. The tests were also applied to 30 patients with right cerebral vascular lesions, left hemiplegia but without crossed legs. Results : From 9 patients with persistent tendency to cross the right leg over the left, UNS was detected in 8. One patient died before the clinical tests were applied. Of the 30 patients without the crossed legs, 20 had normal clinical tests for UNS and 10 had minimal alterations, not sufficient for the diagnosis of UNS. Conclusion : The right leg crossed over the left may represent a new neurological semiotic sign associated with left hemiplegia and left UNS.
publisher Academia Brasileira de Neurologia - ABNEURO
publishDate 2014
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000600418
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