The left side of the world — neglect after right stroke

The motor findings are the decoy in this case: 3+ to 4 strength and a shoulder that needs nothing. The treating problem is that the left half of space has gone quiet, she does not know it, and she is impulsive. Observe neglect in function, measure it with the Catherine Bergego Scale, train scanning anchored to real tasks with prism adaptation alongside, and turn the household from critics into a cueing environment.

• Extinction on double simultaneous stimulation was the bedside clue that formal neglect testing would be positive — a 20-second test that earned its keep.
• Impulsivity plus limited insight is the fall-risk combination. The supervision level goes in the handover, in writing.
• Gardening is the anchor for later scanning practice — meaningful tasks carry scanning further than cancellation sheets ever will.

• The first stand — subacute hemiparesisTier 1
• The wide gait — cerebellar ataxiaTier 3

This page carries the case’s first decision. The full sequence — every decision, the five-domain examination, and the debrief that grades you — is in the drill, and the library is included with membership.