Right Hemisphere Disorders
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- (R CVA) May result from damage to the hemisphere which is not lang. dominant
- Denial of deficits and/or lack of awareness of deficits
- Impaired attention/distractibility; attention allows you to select and prioritize relevant info. - internal and external
- Impaired orientation to time, place, situation
- Impaired memory (common); long term memory, short term/working memory (events/temporary storage), semantic memory (concepts), procedural mem (skills)
- Impaired thought org., reasoning and problem solving - sequencing events and items, categorizing and classifying, determining sims/diffs, drawing cons
- Agnosia, Visualspatial Agnosia, Prosopagnosia
- Difficulty recognizing objects or pictures despite adequate visual sensory ability
- Topographical disorientation
- Difficulty recognizing familiar faces despite preserved object recognition
- Failure to attend to and perceive items on the contralateral side (LEFT); Patients able to locate items on the left when cued to direct their attent.
- Negatively impacts prognosis for recovery of independence; Prone to injuries, accidents, miscommunication, inability to make use of cues, etc
- Syntax is good, not aphasia, impairments may include e pragmatic, semantic, and often motor speech skills
- Includes melody, rate, stress, intonation; Difficulty with sarcasm, kidding, joking, implied meanings through intonation
- Patients may have difficulty with interpretation of expressions that go beyond the concrete meanings of the words; Proverbs, expressions
- Patients may use pronouns inappropriately
- Impacted by memory impairments; single word and simple sentence comprehension usually are good
- We use many statements that go beyond the literal interpretation of the words
- Understanding of jokes requires one to put together context along with conflict in a linguistic structure (double meaning)
- Difficulty staying on topic; tangential responses; inappropriate turn-taking
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