Comparison of the Behavioural Inattention Test and the Catherine Bergego Scale in assessment of hemispatial neglect

Abstract

The objective of the study was to correlate visual and behavioural assessments of hemispatial neglect caused by cerebrovascular accident. We assessed 17 consecutive right-hemisphere stroke patients with hemispatial neglect: the Catherine Bergego Scale (CBS) was used to evaluate neglect in spontaneous behaviour and the conventional subtests of the Behavioural Inattention Test (BIT C) were used to assess visual neglect. The proportional severity of both visual and behavioural neglect was calculated in each individual patient. Dissociations were found between mild neglect in visual screening tasks and moderate or severe neglect in behaviour, although in most patients, neglect was equally evident in both tests. Only the line bisection subtest from the BIT correlated significantly with the CBS, yet both tests showed good internal consistency. The line bisection test and several items of the CBS were especially sensitive in detecting the combination of visual field deficit and hemispatial neglect. In conclusion, we propose that visual fields should always be assessed in patients with neglect because neglect may be exacerbated by a visual field deficit and this can cause prolonged functional disability in everyday life situations. Specific rehabilitation methods might also be needed in neglect with or without hemianopia.

Keywords:

• Cerebral stroke
• Hemianopia
• Hemispatial neglect

The authors wish to thank the participants of the study and the personnel of the Brain Research and Rehabilitation Center Neuron for their help in completing this study. Financial support from the Brain Research and Rehabilitation Center Neuron, Kuopio, Finland, and Kela, Helsinki, Finland, grant no. 17/26/2003 has made this work possible.