Quiz Form

Question Date: 25/07/2023

Question: An 80 year old man, became irritable and confused on waking up. He was restless, collided with the door frame as he entered the room. He looked shabby, his spectacles were hanging, and he denied any problem. His neurological examination revealed sensory extinction and mild weakness on the left side. You test his reading ability and give him a newspaper. What is the most likely way in which he will read the paper?

Options:

• Letter by letter
• He will start from the middle of the page, read right side of sentences
• He will start from the left side and read left side of sentences
• He will complain that he cannot read

Correct Answer: He will start from the middle of the page, read right side of sentences

Explaination: Patient has left hemineglect and has a right parietal stroke. Patients with neglect do not read left side of sentences, they start reading from the middle. Letter by letter reading is seen in occipital lesions due to simultagnosia. Hanging spectacle sign is seen in right hemispheric lesions.

Reference: Barrett, A. M. Spatial Neglect and Anosognosia After Right Brain Stroke. CONTINUUM: Lifelong Learning in Neurology 27, 1624 (2021).