Unawareness after stroke: A review and practical guide to understanding, assessing, and managing anosognosia for hemiplegia

作者：Jenkinson Paul M^*; Preston Catherine; Ellis Simon J

来源：Journal of Clinical and Experimental Neuropsychology, 2011, 33(10): 1079-1093.

DOI：10.1080/13803395.2011.596822

• Unawareness
• Anosognosia for hemiplegia
• Assessment
• Treatment
• Rehabilitation

How should stroke patients with poor motor awareness be managed? This question is important because unawareness (or anosognosia) is related to poor rehabilitation and prognosis. This narrative review provides a guide for clinicians and (applied) academics to understanding, assessing and managing anosognosia. Questions addressed are: What is anosognosia? What causes anosognosia? How can anosognosia be assessed? And how can anosognosia be managed? We suggest that anosognosia is a multifaceted disorder, with diverse neuroanatomical and psychopathological origins. Assessment should measure various aspects of awareness, and management should be multidimensional to address problems with motor function, awareness, and emotional/motivational disturbance.

• 出版日期2011